Student Enrollment Form

Student Name *
Student Name
Student Date of Birth *
Student Date of Birth
(needed for uniform size)
(needed for uniform size)
Address *
Mailing address
Responsible Party Name *
Responsible Party Name
Name of Parent/Guardian if student is under the age of 18
Phone *
Phone 1
Phone 1
Alternate phone number


Enrollment Fee is $100.00 for the first month of classes and includes one Gi (uniform).  

Monthly Tuition is $75.00 per month.  Please ask us about a family discount if you are enrolling more than one family member. 

Monthly tuition is due the first Monday of each month.