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American Tiger Karate Academy
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* Required Information
Please Read Waiver of Liability Web Page Before Filling Out Online Registration Form.
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Students Last Name
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First Name
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Middle Initial
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Street Address
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City
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State
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Zip Code
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Home Phone
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Students DOB
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Partents Full Name, Last, First, MI
Referred By:
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Name of class for which you are registering
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Waiver of Liability Section
Located Below the Registration Tab Waiver of Libility Section
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I have read and understand the Waiver of Liability Section (Print Name, & Date)