Bakers Dojo and Kline Athletic Center
Registration Form
Student
*
First Name
Last Name
Student’s Birthday
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent Name
First Name
Last Name
Email
example@example.com
Please describe any health conditions
Which plan are you signing up for:
1 year plan
2 year plan
3 year plan
Child clothes size
Please Select
Small
Medium
Large
Adult S
Adult M
Adult L
Classes will be held Monday’s and Wednesday’s 7pm to 8:30pm and Saturdays from 12-1:30om. I give my child permission to participate and agree to all term within my contract.
Submit
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