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Please fill out a waiver prior to coming to class.
Child's Name
Last Name
Email Address
Date of Birth
Street Address
City
Postal / Zip code
Today's Date
Phone
What you would like your child get get out of the program
Discipline
Focus
Respect
Self Confidence
Self Control
Fun
Self Defense
Does your child have an medical problems or issues that the teacher should know?
I understand that at any point I cannot walk onto the Dojo mat; speak to my child while class is in progress; be disruptive or have any loud disruptions while class is in progress; be disrespectful to other parents, staff/sensei or someone else's child; ask for promotions/stripes
I accept terms & conditions
Lialibity Waiver
Covid-19
Your Signature
Clear
Submit
Thank you!
This portion is only for those who are enrolling.
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