Karate Party Waiver Form

Welcome! In order to participate, please fill out the waiver form below. List each child that will attend. All Participants must be at least 4 years old.

• Participant(s) First Name (list all names that are your children separated by commas)

  Last Name
  

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  Make Required
• Mom/Dad's First Name

  Mom/Dad's Last Name
  

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  Make Required
• Mobile Phone
  

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  Make Required
• Email Address

  

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  Make Required
• Street Address
  Address Continued
  City

  State/Province
  Postal Code
  

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  Make Required
• Whose party are you coming to or which karate student are you attending with?

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  Make Required
  

• Waiver

  I agree to allow my child to participate in a karate party and to waive any claims against Bobby Lawrence Karate, hereafter, BLK, should my child(ren) suffer any injury while participating in this activity. I agree my pictures taken of me or my child may be used for BLK marketing purposes. I agree to permit BLK to contact me in person, via phone or email to apprise me of any special offers.

  

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