The form below is for an individual candidate or two siblings. If you have more than one candidate applying from the same family and are not siblings, then please complete this form separately for each of them.
Applicant's Full Name
*
Age of Candidate
*
Mobile Number
*
Email
*
Branch interested in
*
Select one
Mt Roskill Dojo - Dominion Road School: 14 Quest Terrace, Mount Roskill (Tues & Thurs - 6.35 pm to 7.25 pm)
New Windsor Dojo - New Windsor School: 185 New Windsor Road (Mon & Wed - 6.20 pm to 7.15 pm)
No elements found. Consider changing the search query.
List is empty.
Parent/Guardian Name (If the applicant is under 18 years old)
Number of applicants applying for trial lesson
*
No. of Applicants
1
2 (Siblings)
No elements found. Consider changing the search query.
List is empty.
Full name of the sibling (of the applicant mentioned above) if applying for more than 1 person
Consent to Privacy Policy
*
By providing this information I consent to the Privacy Policy published on this website at www.budokan.co.nz/privacy-policy/
Submit