Registration
Goju-Ryu Karate Milton Keynes
Student's name First name Second name
Guardian's name (if the student is under 18) First name Second name
Date of Birth (required)
Gender (required) malefemale
Height in cm (For uniforms if required)
Select a Plan (required) ZEN junior/peeweesZEN family junior/peeweesZEN adult/cadetZEN family adult/cadetRONIN junior/peeweesRONIN family junior/peeweesRONIN adult/cadetRONIN family adult/cadetSAMURAI junior/peeweeSAMURAI adult/cadetPrivate
I understand that I will recieve a Direct Debit (DD) request for the monthly Plan and payments will be collected after the first month of membership, on the 1st of each month (DD processing usually take around 10 days). If you started part way through the month, we will invoice you seperately for the second month's fees just for the part-month. The following month will be collected for the full month by Direct Debit. We use DD to streamline and minimise admin. I accept the terms above regarding monthly Plan fees.
Notes Your start date will be your first class after your free taster class.
Start date
For our records, please select the Bundle you will/have purchased: JuniorCadetAdult basicAdult premiumJunior/Cadet DIYAdult DIY
Address line 1 Address line 2 Town Postcode
Your email Please check your spam if you don't receive confirmation to your email.
Your phone (including country code e.g. +447788665544)
Any health or behaviour conditions that may affect training ability or that we should know about? (if applicable)
Any criminal convictions for violence? noyes
Any other information or questions (optional)
Please let us know how you found us blankInternet searchFacebookRecommended by and existing memberThrough a friendAdvertisementOther
Photos and videos Permission for photos/videos to be taken and used for club promotion and social media. We usually only share photos and videos of gradings and events on the club WhatsApp groups. We may occasionally post on the website/social media but would endeavor to ask first. (required) YesNo
Terms and Conditions I have read and accept the club Terms and Conditions. (required)
Privacy I have read and accept the club club data privacy policy (required)
Newsletter By ticking this box, you agree to receive membership information, news, and updates from Goju-Ryu Karate Milton Keynes via email, SMS, WhatsApp. I understand I can unsubscribe at any time.