TIKK Winter Shiai 2020 Registration
Please complete one form per student
First Name *
Last Name *
Dojo *
Current Belt (Rank) *
Age *
Junior or Senior? *
Gender *
Student Fee: $20 - Please submit payment in one of the following ways: 1) PayPal or Zelle to bkkrist@juno.com [be sure to include student's name being registered] or 2) Mail a check to TXIKK at 900 W. Wall Street, Grapevine, TX 76051-5162 or 3) Bring completed form to the dojo and pay with cash, check, or credit card
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