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2023/24 WAITING LIST FORM
THANK YOU FOR ADDING YOUR NAME TO OUR WAITING LIST. IF POSITIONS BECOME AVAILABLE IN THE CLASS OF YOUR CHOICE, WE WILL CONTACT YOU.
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HOW DID YOU HEAR ABOUT THE ACADEMY AT RISING SUN?
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STUDENT NAME
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PARENT/GUARDIAN NAME
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CLASS YOU WOULD LIKE TO ENROLL IN
NEW STUDENT KIDS KARATE LEVEL 1
RETURNING STUDENT LEVEL 2
RETURNING STUDENT LEVEL 3
ADAPTIVE KIDS PROGRAM
ADAPTIVE ADULT PROGRAM
TRADITIONAL ADULT KARATE
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CURRENT BELT RANK (IF ANY)
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AGE OF STUDENT
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ANY SPECIAL NEEDS OR ACCOMMODATIONS NEEDED FOR THE STUDENT TO SUCCEED?
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PHONE/TEXT NUMBER
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EMAIL ADDRESS
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WHY WOULD YOU LIKE TO BE A MEMBER AT THE ACADEMY AT RISING SUN.
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THANK YOU
WE ARE A NON-PROFIT ORGANZIATION WORKING WITH BOTH TRADITIONAL AND ADAPTIVE STUDENTS. WE WILL CONTACT YOU IF A POSITION BECOMES AVAILABLE. THANK YOU
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