Registration

Karate Enrollment

Join Little Dragons, Youth Warriors, Teen Champions, or Adult Elite. Up to 4 students per family.

Step 1 of 5

Student Information

Student 1

Program *

Please select a program.

First Name *

Required.

Last Name *

Required.

Date of Birth *

Required.

Gender

T-Shirt Size *

Please select a size.

Current Belt Rank

Prior Experience

Medical Conditions / Special Needs

Step 2 of 5

Parent / Guardian

First Name *

Required.

Last Name *

Required.

Email Address *

Valid email required.

Cell Phone *

Required.

Relationship to Student *

Required.

How did you hear about us?

Promo Code

Step 3 of 5

Home Address

Street Address *

Required.

City *

Required.

State *

Required.

ZIP Code *

5-digit ZIP required.

Step 4 of 5

Emergency Contact

First Name *

Required.

Last Name *

Required.

Phone Number *

Required.

Relationship *

Required.

Step 5 of 5

Agreements & Signature

I agree to the Participation Waiver and Release of Liability. I understand that martial arts training involves physical contact and inherent risks, and I voluntarily assume those risks.

I authorize Karate Champions Club to obtain emergency medical treatment for the student(s) if I cannot be reached in an emergency.

I agree to the Code of Conduct. I understand that Karate Champions Club has the right to dismiss any student for unsafe behavior, disrespect, or non-payment.

I consent to photos and videos being taken during classes for promotional purposes (optional).

Electronic Signature (type full name) *

Signature required.

Date *

Required.

Title / Relationship to Student *

Required.

🥋

Registration Complete!

Welcome to Karate Champions Club! We'll reach out within 24 hours to confirm your class schedule and first session details.

Questions? Call us at (407) 555-DOJO

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