Step 1 of 3

Hello and Welcome to the sign-up process. Signing up is a very easy process, this form will guide you through it. During the process you will be asked for your height, this is to determine your Gi size. Your Gi and your Federation membership are included in the price. Signing up usually take 3 1/2 minutes on average so lets get started. The Way our contract billing system works is each student needs to fill out this form, so if there are three students from the same household each one will need a separate contract filled out.

Buyers Info:

First Name:

Last Name:

DOB:

Gender:

Email:

Address:

Zip:

City:

State:

Phone:

Mobile:

Student Data:

First Name:

Last Name:

Gender:

DOB:

Address:

Zip:

City:

State:

Phone:

Emergency Contact Information:

First Name:

Last Name:

Phone Number:

Relationship:

First Name:

Last Name:

Phone Number:

Relationship:

First Name:

Last Name:

Phone Number:

Relationship:

Class Fees:

Monthly Class Fees

Monthly

(1- night per week)

1^st Adult

$50.00

2^nd and 3^rd Adult

$40.00

Clothing:

Size	Imperial (in, lb)	Price
000	3ft 7in - 3ft 10in	Included in price of signup
00	3ft 11in - 4ft 2in	Included in price of signup
0	4ft 3in - 4ft 6in	Included in price of signup
1	4ft 7in - 4ft 10in	Included in price of signup
2	4ft 11in - 5ft 2in	Included in price of signup
3	5ft 3in - 5ft 6in	Included in price of signup
4	5ft 7in - 5ft 10in	Included in price of signup
5	5ft 11in - 6ft 2in	Included in price of signup
6	6ft 3in - 6ft 6in	Included in price of signup
7	6ft 7in - 6ft 10in	Included in price of signup

Estimated Gi Size:

Belt Color:

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