Please Resubmit for each individual child / participant

Legal Guardian Full Name

Legal Guardian Email *

Legal Guardian Phone Number *

Child Participant Name *

Participant Age *

Participant DOB *

Gi Size (SIZES IN DROPDOWN) *

*Gi Included with Program Cost.

Kids Program 11/9-11/30 *registration ends 11/4 @ 12:00pm

Please Click The Checkbox and Click A Registration Block *

Kids Program

Kids Program 11/9-11/30 *registration ends 11/4 @ 12:00pm

$99

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