Student Enrollment

Student's First Name *

Student's Last Name *

Main Phone Number *

Additional Phone Number

Main Email Address *

Additional Email Address

Address *

Date of birth *

Postal code *

Any Relevant Medical History *

I agree to allow photos/ film footage to be used for the purpose of positively promoting Black Paw Martial Arts.

I understand that any photos/ film footage may be used on internally produced literature, displays, website and social media.

I reserve the right to instruct Black Paw Martial Arts to cease using photos/ film footage in any new material.

Signature of Student (or Parent if Student under 18) *

Signature

Date of Completion *

Text

Style Selection *

Little Bears

Goju Karate

Freestyle Martial Arts

Number of Classes per Week *

1 Class Per Week

2 Classes Per Week

Unlimited Classes Per Week

Uniform Sizing *

Height of Student

Uniform Sizing *

Tshirt Size

Enrolment Fee *

£ 50

*100% secure & safe payments*