Koinos Homeschoolers
Parent's First Name *
Parent's Last Name *
Student's First Name *
Student's Last Name *
Student's Date of Birth *
Input as 01/10/2000
Student's Grade *
Input as 6, 8, 10, 12
Primary Phone Number *
Secondary Phone Number
Email Address *
Does this student have any allergies or medical conditions? *
If yes, please explain.
Please note that ALL karate classes are ages 7 and up.
Tennis Classes Fridays at Keller Central High School
This is a combined-level class. If numbers support creating two classes, the Older/Intermediate students will move to 11:00.
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