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Sign-up Form (PEI GOJU-Okinawan Karate Dojo)

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Student's Name *

First

Last

Email Message of

Parent's Name (If the student is under 18 parents name required below.)

First

Last

Email *

Phone number

Choose one of the following classes

• Tiger classes (Ages 11-13)
• Dragon Classes (Ages 14-adult)

Choose one of the following sessions

• Six weeks session
• whole winter/spring session (18 weeks))

Comment or Message

Submit

Print out registration form below. (PEI GOJU registration form (Step 2)). Fill out one for each participant and bring to your first class.