Confirmation – Tip test

Osu!

You have been invited to participate in a Tip Promotion Test organized by Montreal Kanreikai Karate dojo.

Please make sure to confirm your participation in this test as soon as possible by filling out and submitting the form below.

NB: A parent must fill out this form for a student aged 17 or under.

"*" indicates required fields

TIP PROMOTION TEST - WORLD KANREIKAI KARATE - PIERREFONDS

First Name of the Candidate*

Last Name of the Candidate*

Birth Date of the Candidate*

Email of Candidate - or parent if the candidate is aged 17 or less*

A confirmation email will be sent to this address.

Tip Test Level - Promotion Fee*

Select the level of the test from the dropdown list

Age Category of the Candidate*

Parent of the Candidate*

The parent must fill out this form in the name of the candidate aged 17 or under.

I confirm my participation - or that of my child aged 17 or under - in this Tip Promotion Test.*

Yes

TIP TEST PROMOTION FEE

I agree that the Promotion Fee of $20 (or $10 for Red Tip) will be automatically charged to my account (credit card) on the day of the test.*

Yes

STATUS AS A STUDENT-MEMBER OF WORLD KANREIKAI KARATE

I confirm my current status as a student-member of the World Kanreikai Karate Organization - or that of my child aged 17 or under. Otherwise, I agree to register myself - or my child aged 17 or under - as a student-member of World Kanreikai Karate and to pay the annual subscription fee of $25 before this Tip Promotion Test takes place.*

Yes

Feel free to ask us for any INFORMATION regarding the registration as a student-member of World Kanreikai Karate.

YOUR MESSAGE, IF DESIRED

PLEASE VERIFY YOUR INFORMATION BEFORE SUBMITTING THIS FORM

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Confirmation – Tip test

TIP PROMOTION TEST - WORLD KANREIKAI KARATE - PIERREFONDS

PLEASE VERIFY YOUR INFORMATION BEFORE SUBMITTING THIS FORM

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