TDSA Afterschool Karate Registration Form

TDSA After School Karate Student Registration Form

Fill out the form carefully for registration
About this course:

Taught by a professional Karate instructor, this class will introduce kids to the basic skills involved in mastering this ancient martial art.

Every class will include a series of warm ups and cool downs as well as a series of exercises to train this discipline’s fundamentals as well as give the group a good workout!

Karate training has been associated with building confidence, focus, mental and physical discipline and countless other benefits.
The class will take place on Wednesdays 3:30-4:30pm on the following dates (13 dates):

1/8, 1/15, 1/22, 1/29, 2/5, 2/12, 2/19, 2/26, 3/4, 3/11, 3/18, 3/25, 4/1

Cost is $169 for the semester ($13 per class) and there is an additional fee of $20 for the mandatory purchase of a gi (provided by instructor).
Student Name

First Name Middle Name Last Name
Birth Date

Month Day Year
Gender
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Student E-mail
Mobile Number

Area Code Phone Number
Phone Number

Area Code Phone Number
Additional Comments

My Products

Karate After School Program Winter/Spring 2020 $ 169.00

Gi $ 20.00

Total $ 0.00

TDSA After School Karate Student Registration Form