New Member Registration Form

Participant's Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Uniform selection *

All uniforms are WHITE and come with our Karate Community badge. 100% Cotton uniforms are only available in sizes 1 [140cm] and above. Second hand uniforms are subject to availability. If we do not have any in stock, we will supply you a new karate-gi.

Standard: Poly/cotton blend - $55

Premium: 100% cotton - $110

Pre-energised: second hand - $15

I already have an approved uniform - $12 if KC badge required

Training Options *

When do you want to train? Selecting both days will incur a higher tuition fee. You can learn more about our upfront costs via the button at the top of the page. Multiple training only available to Junior students and above.

Monday

Thursday

Both days

Does the participant have any pre-existing medical conditions? *

This information will help us provide the best experience and care for the participant.

No

Yes

Name *

Primary/emergency contact must be over 18.

First Name

Last Name

What do you hope to get out of karate training?

This helps us to understand you wants and needs

Physical wellness

Strength and fitness

Positive mental health

Balance, Posture and Fine motor skills

Self-Esteem and Confidence

Discipline

Self defence

Bully awareness and management

Positive social interaction and friendships

Decreased stress

Goal setting

Enhanced memory

Use of image *

Do you give permission for photography to be taken of your child in class?

Yes

No

KC Newsletter *

Do you want to sign up to receive our newsletter? There is good stuff in there, and we promise we won't Spam you!

Yes

No

T&C's *

I have read, understood and agree to the Terms and Conditions for participation in Karate Community programs. 

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