Club Membership Form
Student Name
Student date of birth
2nd Student Name
2nd student date of birth
3rd Student Name
3rd student date of birth
4th Student Name
4th student date of birth
1st Parent Name
1st Parent Phone
1st Parent Email
2nd Parent Name
2nd Parent Phone
2nd Parent Email
Are there any Medical conditions that are relevant to training karate
Which Benefits would you most like to see through training with Bonsai Karate
Fitness
Self Defence
Flexibility
Confidence
Disipline
Tournament
Location Attending
Location
Virginia
Aspley East SS
TSV - Weir State School
Training Days
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
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