SHOTOKAN KARATETraditional karate training emphasizing balance, timing, distance, focus & control

Kata (pre-arranged moves), Kihon (basics) and Kumite (sparring)

TRY IT ON US! FIRST CLASS FREE!985-792-0205

programregistration@myfrancos.com

Tuesday & Thursday

Saturday11:30am - 12:15pm12:30pm - 1:15pm

5:30pm - 6:15pm6:30pm - 7:15pm7:30pm - 8:15pm

(Boxing Studio downstairs across from Studio 1)

Beginner - Youth 8+ Int/Adv - all agesIntro - adults 18+

Int/Adv - all agesIntro - all ages

(Mind/Body Studio upstairs)

www.francosmandeville.com

Shotokan Karate 2019 - 2020 Participant’s Name: _________________________D.O.B.: ________________ Age: _________________

Cell Phone: _____________________Email: ___________________________ FAC#:_________________

Tuesday’s and Thursday’s

5:30-6:15 p.m. – Children’s Beginner session- Introductory course for children 8+, which provides students with a clear understanding of

training goals, beginning techniques, expected training commitment, etiquette and conduct. Training Goal: Students will transition to

intermediate/ advanced sessions within three months. (Requires student commitment to attendance)

6:30-7:15 p.m. - Advanced/Intermediate combo adult and child class. This class is for students who have advanced per Mr. Bob. Must

have taken one of the beginner classes to attend and be invited per Mr. Bob. Areas of focus are Kata, Kihon and Kumite.

7:30-8:15 p.m. – Introductory course for adults, which provides students with a clear understanding of training goals, beginning techniques,

expected training commitment, etiquette and conduct. Training Goal: Students will transition to intermediate/advanced sessions within

three months. (Requires student commitment to attendance)

Saturday’s

11:30-12:15 p.m. - Advanced/Intermediate combo adult and child class. This class is for students who have advanced per Mr. Bob. Must

have taken one of the beginner classes to attend and be invited per Mr. Bob. Areas of focus are Kata, Kihon and Kumite.

12:30- 1:15 p.m. – Introductory combo course for adults and children, which provides students with a clear understanding of training

goals, beginning techniques, expected training commitment, etiquette and conduct. Training Goal: Students will transition to

intermediate/advanced sessions within three months. (Requires student commitment to attendance.

Program Payment

____$55/month repetitive, Franco’s members

____$80/month, guests (a Non-member account is set up with a credit card on file set for a repetitive charge)

Cancellation needs to be submitted by the 20th

of the month prior. Call Jennifer at (985) 792-0205

____ Charge my member account _____ Check _____ Credit Card ______ Cash

For Office Use: Payment Method Account Holders Intl’s_________

____Check (Make checks payable to Franco’s Athletic Club) _____ Credit Card Please Circle: Visa MC AMEX Disc

_____ Membership Charge Account #___________ C.C. Number_____________________ Exp.________

Club Waiver Release All signed participants desire to voluntarily utilize the services and, if applicable, facilities and equipment provided by Franco’s Athletic Club. As a consideration for the right and privilege of

being permitted access to Franco’s Athletic Club, and if applicable, facilities and equipment, the undersigned does hereby release Franco’s Athletic Club, and employees from any and all

liabilities of any kind whatsoever arising out of any physical or mental injury or damage incurred or sustained by the undersigned, minor child, of the undersigned, or the undersigned property,

while voluntarily preparing to use, using or cleaning up after using, any of the services and applicable facilities and equipment provided by Franco’s Athletic Club; and furthermore , agrees to

save and hold harmless Franco’s Athletic Club, its owners, agents, and employees, for any damages or injuries arising out of the undersigned’s, or the undersigned’s minor child, use of the

facilities, equipment and/or services. Furthermore the undersigned acknowledges that he or she has obtained independent medical approval to use the services, facilities and equipment

provided by Franco’s Athletic Club for themselves, or for their minor child, and that he or she has made Franco’s Athletic Club aware of any limitations suggested by his/her physicians. The

undersigned acknowledges and affirms that he or she has carefully read this release and has asked and obtained a satisfactory explanation of any part that he or she does not understand. The

undersigned acknowledges that photos may be taken for publicity/marketing purposes and gives his/her authorization for any photos of his/herself, or of their minor child, to be used in this

fashion.

Participant Signature _____________________________________________ Date: _________________