Kaizen Dojo Enrollment

Kaizen Dojo: Online Application Form

Please scroll down the form, execute all parts and press "SUBMIT".
Kaizen Dojo is an after school program operated by Kaizen Karate. We are located at 9545 Georgia Ave, Silver Spring, MD 20910 (near the beltway exits). Students will take part in daily karate lessons, snack time, homework time, and more!

*We follow the MCPS calendar. Service will be provided on 1/2 days.
Now serving 3 NEW locations for School Year '25 - '26

Starting in Fall 2025, we are excited to announce van service to 3 new schools:

Piney Branch ES
Takoma Park ES
Oakland Terrace ES

Questions - email coach.v@kaizenkarateusa.com
Student Information
First Name*
Last Name*
Birth Date*

MonthDayYear
Child's Grade*
Name of school student attends*

Sligo Creek ESEast Silver Spring ESWoodlin ESPiney Branch ESTakoma Park ESOakland Terrace ESOther - school not listed above
What time does your child get out of school each day?*

:HourMinutesAM/PM Option
Do you need van service?*

Yes! I need my child to be picked up from school in order to participate in the Kaizen Dojo program.No. I plan on dropping off my child at Kaizen Dojo each day located at 9545 Georgia Ave, Silver Spring, MD 20910.
Parent/Guardian Information
Full Name*

First NameLast Name
E-mail*
Cell*

Area CodePhone Number
Parent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Tuition Information

Invoices will be sent to parents on the 25th of each month. Payments for Kaizen Dojo services must be made by the 5th of each month, by parents, through electronic invoice and powered by Intuit QuickBooks. Payments may be made by credit or debit card.
Tuition rates below will increase starting on July 1st, 2025.
Register before June 30th, 2025 to lock in last year's tuition rates!
Full-time service (5 days per week) - $460 per monthPart-time service (4 days per week) - $410 per monthPart-time service (3 days per week) - $310 per monthPart-time service (2 days per week) - $210 per monthPart-time service (1 day per week) - $110 per month
MondayTuesdayWednesdayThursdayFriday
*Starting in Fall 2025, all invoices will be on auto-pay. Cancel anytime.

*Drop-in service - $30 per day - if this service is needed, we request an email at least 24hrs in advance when possible or call our office directly.
By signing below, I agree to the tuition rates outlined above. I understand that Kaizen Karate will bill be electronically on a monthly basis. I also understand that further information may be requested.
Signature*

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Kaizen Dojo: Online Application Form

Student Information

Parent/Guardian Information