Form Owner:
forzakarate.com
Step 1 of 2: Submit
Trial lesson
Please complete in full get your FIRST LESSON FREE
Parent Name / Guardian Name / Adult Student Name
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E-mail Address
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Emergency Contact Number
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Child Name(s)
*
Which Club do you wish to try?
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Select an option:
Rayleigh Adult 8-9pm - Mon
Rayleigh *Beginners 4.15-5pm - Tue
Rayleigh *Novice Class 5-5.45pm - Tue
Rayleigh 9 yrs & und 5.45 - 6pm - Tue
Rayleigh Kumite 6.30 - 7.15pm - Tue
Rayleigh 10-17 Yrs 7.15 - 8pm - Tue
Rayleigh Adult 8-9pm - Tu*
Upminster - Beginners - 4.30-5.15pm - Wed
Upminster - 9 Yrs & under 5.15 - 6pm - Wed
Rayleigh *Beginners 4.15-5pm - Thu
Rayleigh *Novice Class 5-5.45pm - Thu
Rayleigh *9 yrs & und 5.45 - 6pm - Thu
Rayleigh *Kumite 6.30 - 7.15pm - Thu
Rayleigh *10-17 Yrs 7.15 - 8pm - Thu
Rayleigh *Adult 8-9pm - Thu
Southend - All grades & ages 4.45 - 5.45pm
RPS *Beginners 5.30 - 6.15pm - Fri
RPS *Family Class 6.15 - 7pm - Fri
Rayleigh Family Class - 10-11am - Sat
If recommended by one of our students, please tell us their name
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Friends Name
Friends E-mail Address
friends Telephone Number
Friends Child/Children Name(s)
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