Register — Calgary Chito Ryu Karate

Isshin - “One Heart”

Isshin is the embodiment of Family. We’d love you to join our Family

Prior to registering for your first class, please download, read, and sign this waiver.

Name

(name of parent/guardian if registering youth)

First Name

Last Name

DOB

YYYY

Phone (Emergency Contact)

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Have you read and agree to our waiver?

*Please return signed waivers to us

Yes

Name of Youth #1

(if applicable)

First Name

Last Name

DOB

YYYY

Name of Youth #2

(if applicable)

First Name

Last Name

DOB

YYYY

Name of Youth #3

(if applicable)

First Name

Last Name

DOB

YYYY

How did you hear about us?