Karate Club of America

REGISTRATION FOR WINTER MARTIAL ARTS
@ JACKSON ROAD ELEMENTARY

After-School Program in the Gymnasium - Classes for Children K & Up

Master instructor Mike Wholihan has 38 years of experience and is currently teaching at Silver Spring Nursery School, St. Mary's, St. Patrick's, Hampshire View Christian School, Stonegate, and Jackson Road. Evening, weekend, and private lessons are also available.

"I will be teaching your child with an emphasis on enhancing their listening skills and ability to follow directions. My students also increase their concentration and develop motor skills through my martial arts program."
-- Mike Wholihan, Instructor/Seventh-Degree Black Belt

TEN-WEEK COURSE begins Friday, January 8th, 2010.
Registration Fee only $150 - Includes Belt Promotion!
Formal Class Time: 3:15pm - 4:10pm (to go with the flow of school dismissal)
Plus: New Students Receive a FREE UNIFORM.
All fees due by first class - no refunds.

Winter Class Dates: 1/8 - 1/15 - 1/22 - 1/29 - 2/5 - 2/12 - 2/19 - 3/5 - 3/12 - 3/19
KCA provides After-School Karate at Jackson Road ES for the entire school year.

Please complete the form below to register online. All fields are required.

Student Name:
Age:
Grade:
Parent Name:
Mailing Address:
City:
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Home Phone:
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Please check this box to show that you have read and agree with the
Classroom Rules and Student Waiver & Release.