The staff of Mushin Dojo will instruct these classes.  Our program has been specifically designed to  satisfy the wants and needs of children of any age.  Our classes tap the energy and enthusiasm that  children have for karate and channel that energy into other areas of their lives.  The three rules:  (1) Self-discipline - Doing the things that you know you should do without being told.  (2) Respect for others - Treating other people the way you would want to be treated.  (3) Self-control - Controlling your behavior to fit the situation you are in.  All the basics of karate will make a positive change in your child.

Time Length

Price Each

$________________

$________________

$________________

$________________

The above signed individual and / or parent or guardian of the above named child do hereby agree to waive,   release, and hold harmless the Mushin Dojo and its employees from any and all causes of action including injury and property damage.

Subtotal:

Tax:

Total:

Name:

Address:

City:

Phone:

State

E-mail:

Zip

Method of Payment

Card #

Exp. date: