Please complete all information required
Once this form is submitted, the chief Instructor will email you shortly to confirm registration.
Full Name
*
Age
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Free Trial Class at
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Select an option:
Monday at Epping Dojo
Monday at Enfield Dojo
Tuesday at Collier Row Dojo
Wednesday at Barkingside Dojo
Thursday at Chingford Dojo
Friday at Chigwell Dojo
Saturday at North Romford Dojo
E-mail
*
Emergency Contact Number
*
Emergency Contact Name
*
The free trial class is only available to brand new beginners at JHKA
*
Select an option:
I accept
How did you hear about JHKA Karate?
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Leaflet
Website
Word of mouth
Banner
Facebook Ad
Other
If recommended by one of our students, please tell us their name
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