Afterschool – D7Educate Together

Starting on May 12th and for 5 Mondays until the end of the Summer Term... (May 12th, 19th, 26th and June9th and 16th)

Places are limited, First preference will be given to those previously registered, any remaining places will be opened to all on a first come first served basis.

You will receive a confirmation that we have received your payment (receipt) and an email with your Registration for the training.

We will be running two simultaneous training sessions and will split the children according to their Grade/level. Caitlin Sensei will be in charge of this process.

Grading (the belt exam) will be held on the 15th of June* in Tallaght Leisure Centre. This is not compulsory but is available to all members subject to registration and HDKI Licence.

*for belts Green 6th kyu and below - belts Purple 5th kyu and above grade on Saturday 14th.

"*" indicates required fields

Child's Name*

First Last

Date of Birth*

Child's Name

First Last

Date of Birth

Child's Name

First Last

Date of Birth

Parent / Guardian Consent

Parent/Guardian

First Last

Entering your name here is an indication of your consent for the child(ren) named above to partake in regular training and grading with Hombu Dojo Karate.

Phone*

Email*

Enter Email Confirm Email

Other Information

If you wish to supply us with any other information about your child e.g. any medical conditions, special needs, dietary requirements

In case of a medical emergency:

I Agree

In the event of illness or accident, I give permission for medical treatment to be administered where considered necessary by a suitably qualified medical practitioner and/or hospital. I understand that every effort will be made to contact me as soon as possible. In an emergency I can be contacted at the telephone numbers supplied. I agree to allow the child named above to take part in Hombu Dojo Karate training and grading. I understand that there will be suitable supervision while the young people are in the care of the Hombu Dojo.

Your relationship to the young person (s):

Parent

Guardian

Other

I accept that training in karate could involve the risk of injury’*

I accept

Membership*

I Understand and Acknowledge

As an Afterschool Member of Hombu Dojo Karate I understand I can partake in training sessions with Hombu Dojo Karate in the Afterschool sessions only. I understand that I may take part in the Full Club Grading - subject to booking & HDKI Licence. This will take place on June 15th in Tallaght Leisure Centre.

Dojo Kun (rules)*

I understand and acknowledge

As a Member of Hombu Dojo Karate I agree to abide by the Dojo Kun: 1. Seek perfection of character. 2. Be faithful. 3. Endeavor. 4. Respect others. 5. Refrain from violent behavior. I understand that if I fail to observe the above Dojo Kun (rules) I may be asked to leave the dojo.

Select and Pay*

This is for 5 weeks as arranged by D7ET. There is no refund should your child miss a number of the sessions through no fault of Hombu Dojo Karate.

Total

Credit Card*

Card Details

Cardholder Name

This field is for validation purposes and should be left unchanged.

Cart

Afterschool - Mondays 2.10pm to 3.10pm

register here

Parent / Guardian Consent

Hombu Dojo Karate

View our Privacy Policy

affliliated with