Beginner’s Karate Classes
Gender:
Contact tel. no:
Postcode:
Address:
Child’s name:
Contact email:
I would like to register my child for the beginners class.
Does your child have a medical condition that you feel we should know about.
Male Female
Age of child:
If you experience problems using this form or if you would prefer to telephone instead please contact Wayne Clarke on 01482 814125
Starting Thursday 8th January 2015
5.15pm to 6.15pm