Birthday Form | brillskarate

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Birthday Child's Name:

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Child Attending:

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Parent/Guardian of
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Email Address:

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I Agree

The participant and "signer" of this agreement acknowledge that the center Brill's or any affiliate are not responsible for any injury and by this agreement the undersigned assumes all risks inherent and incidental to this type of sports activity as a condition of admission.

Brill’s Karate

Learning in the Most Exciting & Fun Way Imaginable

508 Main Street Spotswood

Market Plaza

(Same Plaza as Ralph's Ices)

Birthday Child's Name:

Child Attending:

Parent/Guardian of
child Attending:

Email Address:

Phone Number:

Address:

Birthday Child's Name:

Child Attending:

Parent/Guardian of child Attending:

Email Address:

Phone Number:

Address:

Parent/Guardian of
child Attending: