Kells Karate Academy

Personal Info

Waivers

Payment Info

Agreements Signatures

Confirmation

3 Month Peewee Contract- First Student

*For new students only
3 Month New Year Special- Train with KKA for $99 a month*!
Second student is $89 a month!
We recommend you order the Beginners package 1 or Deluxe Beginners Package in our store- Package 1 comes with a focus pad and Uniform, Deluxe package comes with a focus pad, Uniform, and tshirt for our summer uniform.
First payment will come out the day you sign up.
*For new students only

Membership Terms

Contract Length: 3 month(s)

Attendance: 2 classes per week

Begin Date: Mar 7, 2026

End Date: Jun 7, 2026

Enrollment End Date: May 31, 2021

Payment Terms

Price: $99.00 monthly

Due Now
First Installment	$99.00
Total Due Now	$99.00
Next Payment
Next Payment	$99.00	(Apr 7, 2026)

My Personal Info

Already a Member? Log In Here...

First Name

Last Name

Date of Birth

Email Address

Mobile Phone

Home Address

Gender Identity

Special Needs

Medications

Allergies

Did anyone refer you to our program? If so, who?

Are you the parent/guardian of the participant? If so, scroll back up and check yes to this question

Primary Emergency Contact - Name

Primary Emergency Contact - Phone

Secondary Emergency Contact - Name

Secondary Emergency Contact - Phone

How Did You Hear About Us?

Due Now

Next Payment