Karate Form

* Indicates required field

Guardian's Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Child's Name *

First

Last

Child's Grade *

Child's Age *

Child's Birthday *

Child's Shirt Size *

Emergency Contact *

First

Last

Emergency Contact Phone Number *

Are You Currently Attending A Church? If So, What Church? *

“In consideration for being allowed to participate in this Activity, I release from liability and waive my right to sue Fellowship Baptist Church, their employees, and volunteers from any and all claims resulting in any physical injury, illness or economic loss I may suffer, or which may result from my participation in this Activity, travel to and from the Activity, or any events incidental to this Activity”.

Parents Name of Acknowledgement *

First

Last

Questions *

Submit

Martial Arts Registration Form

Fellowship Baptist Church

Sunday

Wednesday

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