Register

Please complete the registration form below to arrange your FREE TRIAL, or to be added to our class waiting list, and one of our team will contact you as soon as possible.

If you are under 18yrs of age this contact form must be completed by a parent or guardian.

First name:

Last name:

E-mail:

Mobile:

Is the class for a child or adult?:

Participants Name(s):

Participants Age(s):

Which venue?:

Referred by:

Additional Message:

By ticking this box, I confirm that I am 18yrs of age or over and 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 on to any third parties.