Aikidaily
About Us
About Us
Instructors
Affiliations and Community Partners
What we offer
Adult Courses
Youth Classes
After-School Experience
Kids Camps and Intensives
Leadership Development
Community Events
Private Classes
School Programs
Homeschool Kids Programs
Schedule
Events
Blog
Members
Contact
Join us
Aikidaily
About Us
About Us
Instructors
Affiliations and Community Partners
What we offer
Adult Courses
Youth Classes
After-School Experience
Kids Camps and Intensives
Leadership Development
Community Events
Private Classes
School Programs
Homeschool Kids Programs
Schedule
Events
Blog
Members
Contact
Join us
Aikidaily’s Registration Form for Minors
Student's Name
*
First Name
Last Name
Date of birth
*
MM
DD
YYYY
Home Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Parent's / Guardian's Name
*
First Name
Last Name
Email address
*
Phone number
*
(###)
###
####
Second Parent's / Guardian's Name
First Name
Last Name
Email address
Only if this person wants to be added to the mailing list.
Phone number
(###)
###
####
Medical Condition of concern
*
Emergency Contact
If different from above
First Name
Last Name
Emergency Contact Number
(###)
###
####
Can we use your child's photo on the internet or other media?
*
Yes
No
Which school does your child go to?
*
How did you find us?
*
Facebook
Instagram
Internet search
School
Poster
Walking by
Friend
Other
If you chose "Friend" or "Other" in the previous question, please let us know who or how.
Thank you!
