Dojo After School Karate Parent and Student Information 2018-19
Thank you for enrolling your child in the Dojo's After-School-Karate program for 2018-2019. Please complete and submit a separate form for each child you have enrolled. Be thorough and careful! We won't need to ask for this information again this school year, but DO let us know if anything changes during the year!
Parent or Guardian Information - Primary Contact
This should be the Parent or Guardian who primarily makes arrangements with the Dojo. It is the first person we will try to contact if there is a problem or an emergency.
1. Last Name *
Your answer
2. First Name *
Your answer
3. Your relation to student *
4. Cell Phone *
Please enter your number in this format: 770-965-0808
Your answer
5. Home phone
Please enter your number in this format: 770-965-0808
Your answer
6. Work phone
(Include extension if necessary)
Your answer
7. Email address *
Your answer
8. Street Address *
Your answer
9. City *
Your answer
10. Zip Code *
Your answer
11. What is the best way to contact you during the day? *
Your answer
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This form was created inside of Dojo American Karate.