Register

Please complete the registration form below to book your free trial, or to be added to our class waiting list.

Lesson Date:

First name:

Last name:

Class is for Adult or Child?:

Age:

Are you the student's Parent or Guardian?:

Parent/Guardians Name:

E-mail:

Mobile:

Class Type:

Additional Message:

I confirm consent is given to receive communication from Shoshin Karate. Shoshin Karate will only use your information for the above purposes, as well as any updates on your lesson booking. Your data will not be passed onto any third parties.