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Register

Interested in attending a class? Please complete and submit the registration form.

Student first and last name*

Student age*

Guardian first and last name (for underage student)

Phone*

Address*

Email*

Emergency contact first and last name*

Emergency contact phone*

Medical issues

Please indicate any history that might be relevant to your training.

206-473-2314 | 9463 NE Business Park Lane, Bainbridge Island, Washington 98110 | Map | Member of the United States Aikido Federation

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