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Get Canada Burnaby Shotokan Karate Club Registration Form 2013-2024

Ode Phone Home Cell Emergency # (if different from above) Age Birth Date Year Month Day E-Mail Name of parent(s) / legal guardian(s) if student is under 16 years of age: Registration Fee per Session : Youth 16 yrs in Kids/Youth Class $85 Adult Class $115 Adult Class $150 Summer $50 Please e-transfer: burnabycsk gmail.com or make cheque payable to Burnaby Shotokan Karate Club For more information contact Liny Chan at 604-306-0500 Separate from the dojo fee abo.

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