Registration for After-School/Before School Tryouts and acquaintance with the program.

Student or Students Name *

First

Last

Parent Name *

First

Last

Phone Number

We prefer phone number that can receive texts

Email *

Time Option

the halfdays are free, full day cost is $65.00 included the all day activities and lunch (pizza)

Choose your tryout day

Note to staff

if you have special request please let us know.

by Signature here I agree to all Wilde Lake Karate waiver from