Key Martial Arts Pty Ltd Online Registration

Registration

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Congratulations on your child/children starting their martial arts journey with Key Martial Arts. Please complete the details below and check the confirmation email to ensure the details are correct. We're looking forward to having your child/children join us in class! As part of the form, just type your chosen venue and class time for each child into the box provided. Our team then enroll your child/children into your chosen class.

* denotes required fields

Referral Information

How did you hear about us?*

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Postcode*

Primary Phone*

Additional Info

Emergency Contact Info

Contact #1

Contact #1 (Parent/Guardian) First Name*

Last Name *

How Can We Contact You?

Home Phone

Work #

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 (Optional) First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Medical conditions

Needs to be accomodated

Allergies

Karate venue*

Karate class time*

Pick up from class requested?

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Medical conditions

Needs to be accomodated

Allergies

Karate venue*

Karate class time*

Pick up from class requested?

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Medical conditions

Needs to be accomodated

Allergies

Karate venue*

Karate class time*

Pick up from class requested?

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Medical conditions

Needs to be accomodated

Allergies

Karate venue*

Karate class time*

Pick up from class requested?

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Additional Info

School*

Medical conditions

Needs to be accomodated

Allergies

Karate venue*

Karate class time*

Pick up from class requested?

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Additional Info

Student #2 (Show-Hide Details)

Additional Info

Student #3 (Show-Hide Details)

Additional Info

Student #4 (Show-Hide Details)

Additional Info

Student #5 (Show-Hide Details)

Additional Info

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Required Policies

(Show-Hide Details)