JWK Karate
Complimentary Trial Application
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Have you done any martial arts before?
Yes
No
What has drawn you towards karate? What are you hoping to achieve from karate?
How many classes a week would you be interested in?
Once a week
Twice a week
Three times a week
Do you have any injuries or health reasons that could be exacerbated by karate?
No
Yes. Please provide some more details below.
Please provide relevant health information here
Do you understand that although karate has many health benefits, it can be a risky and dangerous sport?
Yes, I understand and accept the risks.
No, I don't understand the risks and would like Sensei Light to contact me to explain further.
Signature of Applicant or Guardian
Continue
Continue
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