Secure online registration

Student Registration

Complete the form below. Participants must be at least five years old; parent or guardian information appears automatically for minors.

Personal Information

Full NameDate of BirthGenderPhone NumberEmail AddressHome AddressEmergency Contact NameEmergency Contact Phone

Background and Safety

Have you participated in a similar program before?How did you hear about us?Medical conditions, injuries, allergies, or physical limitations?Willing to attend regularly and follow academy requirements?

Consent

Review the Liability Waiver, Refund Policy, Privacy Policy, and Photo and Video Consent.

I confirm that the information provided is accurate.

I acknowledge the risks associated with physical activity and karate training.

I agree to follow academy rules and safety guidelines.

I authorize emergency medical treatment when reasonably necessary.

I grant photo and video permission.

I acknowledge the Refund Policy.

I accept the Liability Waiver.

Typed Electronic Signature