Registration Form | WKKA England

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W.K.K.A. Scotland

Traditional Japanese Karate

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wkkascotland@gmail.com

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Student Application Form

*First Name

*Last Name

*Email

*Phone Number

Student Name (if under 18 years old)

*Student Date of Birth

Starter Bundle

Child

Adult

Adult Premium

Not Required

Student Height (for Starter Bundle)

Medical Information (relevant to karate training)

*Emergency Contact - Name

*Emergency Contact - Phone Number

Previous Martial Arts Experience

*Preferred Dojo(s)

Altrincham

Cheadle

Wilmslow

Widnes

*How did you hear about us?

Website

Leaflet

Word of Mouth

Other

*I agree to the W.K.K.A. privacy notice. For further details, please visit www.wkkaengland.com

Yes

*I promise to uphold the true spirit of W.K.K.A. and never use the skills that I am taught, except in self defence

Yes

Student Application Form

WKKAEngland

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