Karate 2 Weeks FREE Trial

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Please complete this form once for each person who may be interested in a FREE trial (new members only).

This completed form will be emailed to the address provided, PLEASE makes sure it's correct - check your junk mail if you don't receive a copy.

You are under NO obligation to become a member, just bring your water bottle, wear something comfortable and come along and have go.

**You will NOT be registered as a member of the HBK Dojo until you complete a membership form (please see our Privacy Policy on our website regarding all information collected).**

Email *

Student's First Name *

Surname *

Date of Birth *

YYYY

Gender *

Male

Female

Contact Name (Parent or Guardian)

Contact Phone Number *

Club *

PLEASE select the club you are most likely to attend... bearing in mind you can come to all of them.

Frimley Primary School, 202 Frimley Road, Frimley, Hastings; Honbu, 202 Lovedale Road, St Leonards, Hastings; Havelock North Scouts Hall, 24 Napier Road, Havelock North

Hastings - Frimley Primary (Tues & Thur)

Hastings - Honbu (Fight training) Sunday

Havelock North (Wednesday)

Required

Class I'm Most Interested In *

ABC (Absolute Beginners Class) 7yrs+

Graded Students

Personal Training

Fitness & Fight Class

Required

How often would you like to train? *

1 class per week

2 classes per week

3 or more class per week

How did you hear about HBK Dojo? *

Word of mouth

Signage / flyer

Facebook ad

Web search

Family / friend is already training

Through school

Other:

Required

Acknowledgements *

Kyokushin Karate is a traditional Japanese martial art that requires physical exertion. Full contact fighting is a component of Kyokushin. While every effort is made to protect the comfort and safety of all students there is an inherent risk of pain and injury.

I understand and accept the risks

I understand that for the comfort and safety of myself and others I must abide by the dojo rules and follow instruction

I understand that every member and every parent/guardian of a member is expected to be vigilant to potential risk and contribute sensibly to the comfort and safety of all students.

Required

A copy of your responses will be emailed to the address you provided.

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