Karate Class Ongoing Every Wednesday
Fill out the form carefully and sign up of each participant.
Class Date
May 1, Wednesday, 5:30 - 6:30pm
Class Date
May 1, Wednesday- Yellow/Orange Belts, 6:30 - 7:30pm
Class Date
May 8, Wednesday, 5:30 - 6:30pm
Class Date
May 08 Wednesday, - Yellow/Orange Belts 6:30 - 7:30pm
Class Date
May 15, Wednesday, 5:30 - 6:30pm
Class Date
May 15, Wednesday- Yellow/Orange Belts, 6:30 - 7:30pm
Class Date
May 22, Wednesday, 5:30 - 6:30pm
Class Date
May 22, Wednesday- Yellow/Orange Belts, 6:30 - 7:30pm
Class Date
May 28th - 5th week NO CLASS
Class Participant Name
*
First Name
Last Name
Gender
*
Male
Female
N/A
Age
*
Ethnicity
*
Hispanic/Latino
African American
Asian
White Caucasian
Other
City where you live
*
Number in Household
*
Number over 62
*
Family/Parent/Guardian Name
*
First Name
Last Name
E-mail
*
Mobile Number
*
-
Area Code
Phone Number
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May Monthly Family Donation
$
50.00
May Monthly Family Donation
May Monthly Family Donation
$
75.00
May Monthly Family Donation
May Monthly Family Donation
$
100.00
May Monthly Family Donation
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