Bushido Karate Club Trial Class Request
This form is to request a trial class.  Please note that adding your name to the list is not a guarantee of acceptance of membership and only serves as a notification email invitation for a trial class.  The final decision of acceptance of membership is only granted by the headteacher after the trial class.  If unsuccessful in the trial class, you may be asked to try again later.  If you have any questions, please contact Head Instructor Aaron Kenneally on 0876307006
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Email *
Student Full Name *
Parent / Guardian Full Name & Permission (If under 18)
If the student is under 18 a parent or legal guardian will have to grant permission for them to take part in the trial class.  By placing your name there you are stating that you give your full consent.
Mobile Telephone Number *
If the Student is Under 18, please supply your parent or legal guardian mobile number.
Student Age *
We accept members as young as six years old
Medical Conditions
Do you have any medical conditions or injuries that could affect your training?
Which Class would you like your Trial Class? *
You are welcome to choose any location to do your trial class
Previous Martial Arts Experience? *
A copy of your responses will be emailed to the address you provided.
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