Keiko Shin Karate Academy Wesley Chapel
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Name:
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Comment:
Full Name of Student #1
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Full Name of Student #2
Full Name of Student #3
Full Name of Student #4
Attending Program for Student #1
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Recreational Karate (Mondays and Wednesday at 5:30)
Recreational Karate (Mondays and Wednesday at 6:30)
Pre-Team/ Team (Tuesday, Thursday and Friday at 5:30pm)
Adult Class
After School Program
Summer Camp
Friends of the Academy (For updates only)
Mark as many as needed
Attending Program for Student #2
Recreational Karate (Mondays and Wednesday at 5:30)
Recreational Karate (Mondays and Wednesdays at 6:30 pm)
Pre-Team/Team (Tuesday, Thursday and Fridays at 5:30)
Adult Class
After School Program
Summer Camp
Friends of the Academy ( For udpates only)
Attending Program for Student #3
Recreational Karate (Mondays and Wednesday at 5:30)
Recreational Karate (Mondays and Wednesdays at 6:30 pm)
Pre-Team/Team (Tuesday, Thursday and Fridays at 5:30)
Adult Class
After School Program
Summer Camp
Friends of the Academy ( For udpates only)
Attending Program for Student #4
Recreational Karate (Mondays and Wednesday at 5:30)
Recreational Karate (Mondays and Wednesdays at 6:30 pm)
Pre-Team/Team (Tuesday, Thursday and Fridays at 5:30)
Adult Class
After School Program
Summer Camp
Friends of the Academy ( For udpates only)
Parent #1 Full Name
*
Parent #1 Email Address
*
Parent #1 Phone Number
*
Parent #2 Full Name
Parent #2 Email Address
Parent #2 Phone Number
Programs
After School Program
Pre-Team/Team
Adult Class
Recreational Karate
Summer Camp
Everyone but afterschoolers and summer camp
Ninja Bus: WC Montessori at Lexington Oaks
Ninja Bus: Sugar & Spice
