Tertiary Email Address
Name
Parent / Guardian Name & Info *If member is under 18*
Email
Phone Number
Sms Opt-In
By opting in to SMS, the Person agrees to receive announcements and billing alerts from Karate-Do Ken Wa Kan.
Standard messaging rates may apply. Messaging cadence may vary. Reply STOP to opt out.
Birthdate
How did you hear about us?
Is there anything we should know about you/your child?
Submit