Registration

Register online to ensure your spot in the course! Please fill out the form below and submit your registration information to secure a spot. You will be contacted within 48 hours by the Academy Director for payment details. We accept VISA and Mastercard over the phone. We can also make arrangements for payment in person, accepting cash, cheque, VISA, Mastercard and Interac debit.

Please note: Your registration in the program is not confirmed until payment has been received.

Class:
Session:

First Name
Last Name
Address
City Province Postal Code

Home Phone	Work/Cell Phone
Email Address
Birthday Age

Gender

Do you have any health/medical conditions?
If so, please indicate.

Do you have any previous martial arts experience?
If so, please indicate martial arts experience and the last belt attained.

If the participant is under the age of 17 please fill in these fields:

Parent's Names Phone Number

Comments/Questions?

How did you hear about us?