Karate Holiday Camp Registration Form:

Karate Holiday Camp Registration Form:

13 and 14 January (Development competitor / Non competing athletes/ Give it a go day) 22 and 23 of January (competitive athletes) 2026. Stirling Karate.
- Address - 45 Huntriss Road Karrinyup - 6018
- Contact - Graz Prinsloo 0433871982
- Email - sensei@stirlingkarate.com.au
- Website - www.stirlingkarate.com.au
Participants Details:
I am booking for:*

Monday 20 January (Development competitor / Non competing athletes/ Give it a go day)- $99.00Tuesday 21 January (Development competitor / Non competing athletes/ Give it a go day)- $99.00Wednesday 22 January (Competitive athletes)- $99.00Thursday 23 January (Competitive athletes)- $99.00
There will be tuck shop and food available for sale and we will send the food booking forms separately. Strictly no nuts in packed lunch boxes please. Would you like to order closer to the time? *
Full Name*

First NameLast Name
DOB*
Age on 6 July 2026*
Address*

Street Address

Street Address Line 2

CityState

Postal / Zip Code
Skill Level*
Belt Level*
Club*
Primary Contact Number*
Name of Contact Person*

First NameLast Name
Relationship*
Other Emergency Number*
E-mail*
example@example.com
Name*

First NameLast Name
Relationship*
How did you hear about us?*
Special requests or important information/medical conditions:
Friends are important - Please list if there is someone your child would like to group with:
Early drop off?

YesNoMaybe
Waiver and Indemnity
Date*

MonthDayYear
Date
I agree with the conditions above:*

AgreeAgree with the following exclusions
Specify exclusions so we can discuss further:
Should be Empty:

Karate Holiday Camp Registration Form:

Waiver and Indemnity