Please fill out the following information to register your child for After School Karate for the 2021-2022 school year.
First Name
 
Last Name
 
Email Address
Phone Number
Address
Gender
Birth Date
Secondary Email
Guardian 1 Name
Guardian 2 Name
Guardian 1 Cell
Guardian 2 Cell
Elementary School
Grade
Persons Allowed to Pick Up
Monday
Tuesday
Wednesday
Thursday
Friday