Holiday Camp Registration Form:
25 & 26 September 2024.
I am booking for:
Wednesday 25 September - $99.00
Thursday 26 September - $99.00
Childs Details:
Full Name
*
First Name
Last Name
DOB
*
Age on 25 September
*
Skill Level
Please Select
Beginner
My child does karate
Competition karate level
Belt Level
Please Select
NA
White - Orange Belt
Green and above
Address
*
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Primary Contact Number
*
Name
First Name
Last Name
Relationship
Other Emergency Number
*
E-mail
example@example.com
Name
First Name
Last Name
Relationship
How did you hear about us?
*
Please Select
WatsApp
FB
Insta
Friend
Other
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?
Yes
No
Maybe
Date
-
Month
-
Day
Year
Date
I agree with the conditions above:
Agree
Agree with the following exclusions
Specify exclusions so we can discuss further:
Submit
Should be Empty: