$2 for 2 classes trial

Trial begins the date of purchase only during the new student intake period, purchase covers sign up to & use of the M system / app.

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? *

SHITORYU SHUKOKAI KARATE DO

KICKBOXING

M M A

You're enrolling at:

EMERALD DOJO

Enter payment details for this plan

$2 trial & Join M system

$1.00 FOR 2 PASSES

*Please note that there is also a one-off setup fee of $1.00

Please read and sign the following agreements

Emerald application form

$2 for 2 classes trial

Personal Information

Emergency Contact Information

Which class(es) are you joining? *

You're enrolling at:

Enter payment details for this plan

$2 trial & Join M system

Please read and sign the following agreements

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$2 for 2 classes trial

Personal Information

Emergency Contact Information

Which class(es) are you joining? *

You're enrolling at:

Enter payment details for this plan

$2 trial & Join M system

Please read and sign the following agreements

Which contact methods do you consent to?

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