OPEN KATA COURSE
Please complete this form to book a place in the Open Kata course.
1st Student’s Full Name
*
First Name
Last Name
Age
*
Grade
*
Style of karate
*
Email Address for Confirmation
*
example@example.com
2nd Student’s Full Name
First Name
Last Name
Age
Grade
Style of karate
Instructor’s Name
*
Instructor’s Contact Number
Club / Association
*
I confirm that I have my instructor’s permission to attend this Open Kata Training course.
*
Yes
Photo/Video Disclaimer
Photos and/or videos may be taken during the Open Kata Training course for promotional, educational, and archival purposes. By submitting this form, you acknowledge that you and/or the student may appear in such photos or videos.
I have read and understood the photo/video disclaimer and I consent to photos/videos being taken.
*
Yes
No
Do you have any existing injuries or medical conditions we should be aware of?
*
I understand and agree that all bookings are non-refundable.
*
Yes
Signature
*
Parent signature if under 18years
My Products
Sort By
Name: A to Z
Name: Z to A
Price: Low to High
Price: High to Low
Clear Sort
prev
next
( X )
Open Kata Course
£
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
£
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: