High River Karate Club
Registrant Information
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Last Name
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Female
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Grade
White Belt
Colour Belt
Black Belt
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Address
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Alberta
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Home Phone
Indigenous Peoples (Optional)
[More Info]
Yes
Persons with Disability (Optional)
Yes
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Parent/Guardian (required for 17 years & Under)
Parent/Guardian Name (Optional)
Parent/Guardian Email (Optional)
Parent/Guardian Phone (Optional)
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Guardian Signature
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