Tertiary Email Address
Name
Parent/Guardian Name & Info *If member is under 18*
Email
Which program are you interested in?
Phone Number
Sms Opt-In
By opting in to SMS, the Person agrees to receive announcements and billing alerts from Concord Karate Academy.
Standard messaging rates may apply. Messaging cadence may vary. Reply STOP to opt out.
What is your preferred contact method (Email, Phone) - Please note, we cannot receive text messages at this time
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