Welcome To Anshin Kai Martial Arts

Congratulations on signing up for our Youth Trial Class Pass. You can attend two class with this pass We recommend using them the same week to get an idea of how our classes run. During your first trial class you will warm up with the class then break out for some one-on-one instruction and reviewing our New Student Guide sheet which you get to keep. We look forward to seeing you at the dojo!

Personal Information

FIRST NAME *

LAST NAME *

UPLOAD PROFILE PHOTO

ADDRESS LINE 1

ADDRESS LINE 2

TOWN/CITY

POSTCODE

EMAIL ADDRESS (PRIMARY) *

EMAIL ADDRESS (SECONDARY)

GENDER

PHONE NUMBER

MOBILE NUMBER

DATE OF BIRTH

Emergency Contact Information

NAME

RELATIONSHIP

PHONE

MEDICAL / ALLERGY NOTES

You'll be joining:

YOUTH GOJU RYU KARATE AGES (7-12)

You're enrolling at:

HONBU DOJO

Enter payment details for this plan

Trial Class Youth Ages 7-12

$15.00 FOR 2 PASSES

Please read and sign the following agreements

Waiver and Release of Liability

Guidance for the protection of youth and vulnerable persons.

PHOTO AND VIDEO IMAGE CONSENT/WAIVER

Welcome To Anshin Kai Martial Arts

Personal Information

Emergency Contact Information

You'll be joining:

You're enrolling at:

Enter payment details for this plan

Trial Class Youth Ages 7-12

Please read and sign the following agreements

Success!

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Welcome To Anshin Kai Martial Arts

Personal Information

Emergency Contact Information

You'll be joining:

You're enrolling at:

Enter payment details for this plan

Trial Class Youth Ages 7-12

Please read and sign the following agreements

Which contact methods do you consent to?

Success!

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