Welcome to Karate with Sensei Susan at Volunteer Pool Community Centre
Please fill in the form below
Student's Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Date of Birth
*
-
Month
-
Day
Year
Phone Number
*
-
E-mail
*
Emergency Contact
*
First Name
Last Name
Phone Number
*
-
Fall Session: September 4-December 22, 2024 (students can start anytime and registration will be pro-rated) Class Time:
*
Wednesdays 4:45pm-5:30pm $285
Wednesdays 5:30pm-6:15pm $285
Sundays 10:00am-10:45am $285
Sundays 10:45am-11:30am $285
Sundays 11:30am-12:15pm (Adults/Teens) $285
Attend Twice per Week for $395 (email susan@senseisusan.com indicating your class times)
Specialty Program for 2-6 Year Olds and their Caregivers: Sundays 12:15-1:00pm $270 or $20 drop-in per week(no classes on Sunday, Sept. 29)
Uniform ($45)
Yes
No
Price
CAD
Method of Payment
E-Transfer (susan@senseisusan.com)
Cash or Cheque (Payable to S. Baldassi)
Are there any health concerns/information that you feel we should know about?
How did you hear about our program?
Social Media
Posters
Recommend by Friends/Family
Other
Back
Next
Signature
Total
Submit Form
Should be Empty: