NEW Student Registration at Dittmar Recreation Center

To register for the Junior (ages 5-12) or Adult (ages 13+) Class at Dittmar Recreation Center, complete the following form.

Registration cost:
Tuition: $70

Can be purchased on AustinSocietyofKarate.com or in class:
Uniform: $45

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

Which class(es) are you joining? *

ADULT

JUNIOR

You're enrolling at:

DITTMAR RECREATION CENTER

Enter payment details for this plan

Dittmar Class Tuition

$70.00 FOR 10 PASSES

Please read and sign the following agreements

Release and Waiver of Liability and Indemnity Agreement (Read Carefully Before Signing)

NEW Student Registration at Dittmar Recreation Center

Personal Information

Emergency Contact Information

Which class(es) are you joining? *

You're enrolling at:

Enter payment details for this plan

Dittmar Class Tuition

Please read and sign the following agreements

Success!

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NEW Student Registration at Dittmar Recreation Center

Personal Information

Emergency Contact Information

Which class(es) are you joining? *

You're enrolling at:

Enter payment details for this plan

Dittmar Class Tuition

Please read and sign the following agreements

Which contact methods do you consent to?

Success!

Hmm...