Individual Registration

Please enter information in the form below to process registration for event Cheshire Karate Academy Grading Apr 2026.

Parent Full Name (If Under 18)

Student Full Name *

Date Of Birth *

Age *

Grade *

Belt Colour *

Address *

City *

Post Code *

Email *

Do you give permission for photos to be taken of you/your child *

Do you give Permission to Place Photos taken by the club on our Website *

Do you give Permission to use Photos taken by the club on Social Media (Facebook, Google, Twitter, Instagram) *

Amount

Payment Method

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

Chelmsford Karate | Upcoming Club Events