Grand River Karate Sign Up - New or Returning Participant

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Please fill out and submit the following form. Please complete one for each participant. Once the form is processed you will receive an email detailing the price and confirmation of registration.

Email *

Participant's Last Name *

Participant's First Name *

Address, City and Postal Code *

Phone Number (Home or Cell) *

Date of Birth *

YYYY

Emergency Contact Info (Name, Relation, Phone) *

Please List Any Relevant Medical Conditions of Which Instructors Should Be Aware to Support Your Safe and Healthy Training in Karate

Which Program are you signing up for?

Kids and Parents Class (children must be between the ages of 8 and 11)

Teen / Adult Class (ages 12 and up)

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Please Check The Appropriate Participant Option *

Child #1 ($90 / 3 months)

Child #2 ($45 / 3 months)

Child #3 ($45 / 3 months)

Parent #1 ($45 / 3 months)

Parent #2 ($45 / 3 months)

Teen / Adult Class - one month ($50 / month)

Teen / Adult Class - 3 months ($120 / 3 months)

Choose Gi (uniform) option (uniforms include 2 patches and a belt) *

Child Gi $40

Adult Gi $50

I already have a Gi

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