OHPCA Martial Arts in the Park 2022 Registration Form
June 30, 2022 - August 4, 2022 (Thursdays)
2:00 - 3:00 pm
6 - 10 years of age ONLY

Did you know that Karate is much more than punching, kicking, and blocking?  

Are you ready to meet the challenges and become more confident?  This Karate class builds a team of focused, strong youth.  Participants will be earning their belts and stripes. Martial arts T-shirts will be awarded to those who finish the session.  Come join the fun with Mejishi Martial Arts!
 
We will provide the belts, stripes, and t-shirts. It is best to come in loose pants or narrow legged shorts and a t-shirt. Jewelry, phones, toys, or other personal items should be left outside of the workout area. Lightweight tennis shoes are suggested. Please bring sunscreen and a towel. Water will be provided.

SAVE THE DATE: The group will perform a short demonstration on Saturday, August 6 at the Annual Community Picnic in the Park!

NOTE: 1 PERSON PER REGISTRATION FORM

Out of an abundance of caution to protect the safety of our community and this activity being held outdoors, spacing of each registrant will be followed.  Hand sanitizers will be on hand and masks are optional.

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Email *
Child's First Name *
Child's Last Name *
Age of Child *
Child's Home Address *
Child's City *
Child's Zip Code *
Child's Contact Number *
Emergency Contact Name *
Emergency Contact Number *
List Any Allergies (N/A if none) *
Medical conditions or Special Needs (N/A if none) *
Previous martial arts experience including self defense  (N/A if none) *
TERMS OF AGREEMENT - RELEASE OF LIABILITY: I Parent/Guardian acknowledges and understands that the above named participant will be participating in Mejishi Martial Arts classes. Without further consideration, I hereby waive any and all claims against O'Hair Park Community Association, Mejishi Martial Arts, Jaye Spiro, or any other instructors or students which may arise as a result of injury and/or the aggravation of any prior existing condition by way of participation in classes and activities at Mejishi Martial Arts. *
Required
TERMS OF AGREEMENT - PHOTOGRAPHY AND VIDEO RELEASE - I hereby grant permission to O'Hair Park Community Association (OHPCA) to use photographs and/or video of me taken during the registered activity in publications, news releases, online and in other communications related to the mission of OHPCA. *
Required
Parent/Guardian First Name *
Parent/Guardian Last Name *
PARENT/GUARDIAN SIGNATURE                                    This signature will authorize attendance of above mentioned child and agreement of the above terms.
(Type First and Last Name below)                               *
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