As part of the Application Process, we require all new members to complete a Complimentary Trial. This ensures that new and existing members feel safe and happy within our Dojo Community. If you haven't already been into the Dojo for your trial, please Get in Touch to book in your complimentary session prior to submitting your application.

Primary Guardian

First Name

Last Name

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Emergency Contact

Please provide an emergency contact in case we can't reach you in the event of an emergency.

Full Name

Relationship

Phone

Member Information

Press the '+' for additional members

Member Details

New Member Name	DOB	Clothing Size

Do any of the members listed above have previous Martial Arts or Karate experience?

Yes

If "yes" please provide details

Do any of the members listed have any allergies or injuries?

Yes

If "yes" please provide details

I have read and agree to the Release and Consent and Privacy Policy.

Member Application

Primary Guardian

Emergency Contact

Member Information

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