Birthdate/dates

Monroe Street Movement Space

Registration Form-Children’s Summer Karate

Student Age/ages

City/ State/ Zip Code

Print Name on Credit Card

Work Phone/Cell

Work Phone/Cell

I have read the terms of this registration, understand and agree to its conditions.

Class Fees

$ 104.00

720 Monroe Street, C-504, 5th floor   Hoboken, New Jersey   07030

201-222-8033   E-mail: info@movementspace.com   Website: www.movementspace.com

To register, fill out the form, sign at bottom
and send in with the total tuition. Tuition will be refunded
minus a $35. processing fee, if you withdraw two weeks prior
to your first day of attendance. After the program starts there
will be no refunds, make-ups or credits for missed classes.

     Your signature is required to complete this registration.

METHOD OF PAYMENT

Tuesdays
July 8th-August 26th, 2008

Registration begins 3/1/08

 

4:30-5:00pm   3-4 year olds

5:00-6:00pm   5 years & older