|Event, or membership|
|Given name||Family name|
|City, Prov.||, Postal Code|
|Phone Date of birth|
|When would you like to start|
|Fields shown in red are required.|
*Please note: Candidates for membership must complete and sign an application form before their first lesson.
The signature of a parent or guardian is also required for students under 18 years of age. Click the link below for a printable application form:
If you are signing up for a special workshop, seminar or course, you must complete and sign a waiver form.
The signature of a parent or guardian is also required for students under 18 years of age. Click the link below for a printable waiver form:
PAYMENT (if applicable): Payment for classes or workshops at our Ottawa location can be made by cheque payable to Gary Eikenberry or cash at the time of your first workshop or class. Alternatively, you can pay on-line payment with a credit card or eligible bank card. Click here for on-line payment options.
If you are signing up for a self-defence course or self-defence month special you must also pre-pay to secure your spot.