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* First Name

* Last Name

* Phone number

* Email

* Are you registering for the Boys Session or Girls Session?

A separate registration form needs to be filled out if you are needing to register for both the boys and girls sessions.

* Number of children attending ONLY the boys session or ONLY the girls session.

Please Select One1 - $2002 - $4003 - $600A separate registration form needs to be filled out if you are needing to register for both the boys and girls sessions.

Name of Child Attending

Age of Child Attending

School of Child Attending

Name of Second Child

Age of Second Child

School of Second Child Attending

Name of Third Child Attending

Age of Third Child Attending

School of Third Child Attending

* Do you already have an approved Academy Karate Uniform?

How many Academy Karate Uniforms do you need to purchase?

Amount Due:

Sun, September 7 2025 14 Elul 5785

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