Friday mornings

Coached by a Baby Boomer this is a group for men over 55 to learn Kickboxing, grappling and boxing to improve health, fitness while learning self defence at their own pace.

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LAST NAME *

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EMAIL ADDRESS (SECONDARY)

GENDER

PHONE NUMBER

MOBILE NUMBER

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Emergency Contact Information

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MEDICAL / ALLERGY NOTES

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EMERALD DOJO

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SENIORS 1 class per week billed fortnightly

$46.00 / 2 WEEKS

*Please note that there is also a one-off setup fee of $19.55

Please read and sign the following agreements

Emerald application form

Friday mornings

Personal Information

Emergency Contact Information

You'll be joining:

You're enrolling at:

Enter payment details for this plan

SENIORS 1 class per week billed fortnightly

Please read and sign the following agreements

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Friday mornings

Personal Information

Emergency Contact Information

You'll be joining:

You're enrolling at:

Enter payment details for this plan

SENIORS 1 class per week billed fortnightly

Please read and sign the following agreements

Which contact methods do you consent to?

Success!

Hmm...