Ingram's Pro Karate Center

New Student Enrollment Form

$19.95 Fee includes - - 2 Classes and a uniform

* * Submission of this form will schedule your first class * *

Student First Name: Last Name: Parent/Guardian Name: (Required for students under 18 yrs old) Address: City: State: Zip: Phone: Alternate Phone: E-Mail Address: Please select your class type How did you hear about us? Please tell us what you hope Karate will do for you or your child:

Please select dojo location

Be prepared to furnish the required $19.95 payment prior to your first class
Cash, Check, Mastercard & Visa Accepted

Please arrive 15 minutes earlier than your scheduled class time to receive your uniform, tour our Dojo, and meet your Sensei