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Individual Licence RENEWAL

Please note - This licence application is for students who train with an official Shukokai Karate Organisation affiliated club

First Name

Last Name

Club

D.O.B

Email

Phone

Gender

Address

family Licence Renewal

Please note - This licence application is for students who train with an official Shukokai Karate Organisation affiliated club

First Name

Last Name

Club

D.O.B

Email

Phone

Gender

Address

Please state how many Children you are

applying for. A family of 3+ is a reduced rate of £80

Please input the Names, DOB & Genders of all additional people below

Contact

shukokaikarateorg@gmail.com

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