In accordance with Association regulations, please complete this form when applying and paying for Jardine Karate classes.

All contact details must be correct and up to date. Thank you. 

Please register you and your child's emergency contact details here:

Students full name
Required
Parent or guardian name/names
Required
Contact mobile number
Required
Contact home number
Required
E-mail address
Required
Health issues (ie, allergies, dietary requirements, phobias, medication etc)
Required
Club registering for
Required
Enter the code below in here: