Annual Club Registration
Club Location (Suburb)
*
Club Instructor Name
*
First Name
Last Name
Club Instructor Email Address
*
example@example.com
Club Instructor Phone Number
*
-
Area Code
Phone Number
Assistant Instructor Name
First Name
Last Name
Assistant Instructor Email Address
example@example.com
Assistant Instructor Phone Number
-
Area Code
Phone Number
List all classes including days and times
*
Systems/Programs Teaching
*
Children Karate
Teens/Adults Karate
Children Kickboxing
Teens/Adults Kickboxing
Children Boxing
Teens/Adults Boxing
Weapons (within Karate Class)
Weapons Class
Kids MMA
Teens/Adults MMA
Self Defence Courses
School Holiday Programs
Personal Training
School Programs (State Head Office Only)
Current Number of Students
*
Venue Name (Hall name or School Name)
*
Venue Location
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Venue Email Address
*
example@example.com
Venue Phone Number
*
-
Area Code
Phone Number
Any specific terms and conditions for your venue required by the landlord
I agree to the terms and conditions of running a club under All Stars (refer to the licensing agreement)
*
Yes
I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake the responsibility to inform you of any changes therein, immediately.
*
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Instructor Terms and Conditions
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