07393 676802
hello@cheshirekarateacademy.co.uk
Home
About Us
Safeguarding
Association
Instructor
Classes, Timetable & Prices
Childrens Karate
Beginners
Adults Karate
1-2-1 Coaching
Book a Trial Class
Training Times
Self Defence
News
F.A.Q's
Events
Contact Us
Free Adult Trial
Please enter information on the form below to process your Trial to Cheshire Karate Academy
Account Information
Email
*
Full Name (Parent/Guardian if under 18)
*
Address
*
City
*
Post Code
*
Contact Number (Mobile)
Date of Birth
*
Age
*
Location
*
Astbury Village Hall
Congleton High School
Sandbach School
Wesley Centre
Do you/your child(ren) have a medical condition?
*
Select
Yes
No
Medical Conditions Explained
*
Does Student Have Any Allergies
*
Select
Yes
No
Allergies
*
Do we have permission to Give First Aid Treatment in the event of an emergency
*
Select
Yes
No
Do we have Permission To Travel With Student In The Ambulance in the event of an emergency
*
Select
Yes
No
In the event of an emergency where the child needs to be admitted do the hospital have permission to treat your child
*
Select
Yes
No
Do you give permission for photos to be taken of your child
*
Select
Yes
No
Do you give Permission to Place Photos taken by the club on our Website
*
Select
Yes
No
Do you give Permission to use Photos taken by the club on News Articles
*
Select
Yes
No
Do you give Permission to use Photos taken by the club on Social Media (Facebook, Google, Twitter, Instagram)
*
Select
Yes
No
Where did you hear about us?
*
Select
Google Search
Social Media (Facebook, Instagram)
Family
Friend
