Satori Karate Sign Up Form

Join us now

For Just $49 You Get

Karate Uniform

Karate Australia Membership

(Uniform valued at $75)

(classes must be used in two weeks)

Personal Information

FIRST NAME *

LAST NAME *

UPLOAD PROFILE PHOTO

ADDRESS LINE 1

ADDRESS LINE 2

TOWN/CITY

POSTCODE

EMAIL ADDRESS (PRIMARY) *

EMAIL ADDRESS (SECONDARY)

GENDER

PHONE NUMBER

MOBILE NUMBER

DATE OF BIRTH

Emergency Contact Information

NAME

RELATIONSHIP

PHONE

MEDICAL / ALLERGY NOTES

Which class(es) are you joining? *

ADULTS & TEENS

LITTLE RONIN 4-7YRS

SAMURAI 8-12YRS

KOBUDO

You're enrolling at:

MTE VIC

Enter payment details for this plan

2 Week Trial Membership

$49.00 FOR 6 PASSES

Please read and sign the following agreements

member

Satori Karate Sign Up Form

Personal Information

Emergency Contact Information

Which class(es) are you joining? *

You're enrolling at:

Enter payment details for this plan

2 Week Trial Membership

Please read and sign the following agreements

Success!

Hmm...

Satori Karate Sign Up Form

Personal Information

Emergency Contact Information

Which class(es) are you joining? *

You're enrolling at:

Enter payment details for this plan

2 Week Trial Membership

Please read and sign the following agreements

Which contact methods do you consent to?

Success!

Hmm...