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It's Bring a Buddy week at Dojo Van Rel Shotokan Karate School. Please fill out the following form for insurance purposes. We look forward to welcoming you on the mat!

Name of Dojo Van Rel Member Who You Will Accompany *
Name of Dojo Van Rel Member Who You Will Accompany
Your Name *
Your Name
Child's Name
Child's Name
If applicable.
Are you / Is your child in good health and fit to take part in physical exercise? *