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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

Contact

shukokaikarateorg@gmail.com

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