Karate WA Guardian Girls Instructor Training Course Expression of Interest Form

Karate WA Guardian Girls Instructor Training Course Expression of Interest Form
The Guardian Girls program seeks to help women become empowered, learn proactive pathways to safety, and build mental resilience to not freeze in dangerous situations.

To be elidgeble to participate instructors must:

- Be female

- Be 18 years of age

- Hold a black belt

- Hold a current KA membership

- Hold a current Karate Instructor Accreditation

- Be available on both days

The workshop will run on Septemeber 5 (12.30pm – 4.30pm) and 6 (8.30am – 1.00pm). Please complete the following field to register you interest in taking part in the workshop.

Note there is only space for 30 participants.
Name of Instructor

First NameLast Name
Gender
Date of Birth

MonthDayYear
Date
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Club Name
Head of Style Name
Are You Available On Both Days
Instructor Belt
Karate Australia Membership Number
Upload Your Karate Instructors Accreditiation

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