Upper Canada Shotokan Karate Dojo E-mail Seminar Registration Form
First name
Last name
Date of birth
E-mail address
Dojo
Select rank:
Unranked
8th kyu
7th kyu
6th kyu
5th kyu
4th kyu
3rd kyu
2nd kyu
1st kyu
Black Belt
Will you need to be picked up at the airport, train station, or bus depot?
Medical problems
After you submit this form, please print it if you can, and bring it along with the $50 registration fee to the seminar.
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