_Lunch Time Program - Rosedale 2026 (Jan 19 - Mar 2, 2026) No class Feb 16

Student Details

First Name Required	First Name, field is required
Last Name Required	Last Name, field is required
Birthday Required	Month:, field is requiredDay:Year:
Email Required	Email, field is required
Primary Phone Required	, field is required
Emergency Contact Number Required	, field is required
Emergency Contact Name Required	Emergency Contact Name, field is required
Mailing Required	Street City Country ProvincePostal code Canada
Gender Required	Gender, field is required, to switch between list items use arrow buttons. Choose
Grade Required	Grade, field is required
Medical Conditions	Medical Conditions

Enrollment Details

-	My child is or has been enrolled in another martial arts program:
Please Select	Please Select, to switch between list items use arrow buttons.
If Yes - Please Specify
Note:	Note: space/maximum number of participants limited. Preference given to students not currently in another martial arts course
-	My child has participated in previous (NKS) Lunch Program courses (maximum enrollment - two sessions).
Please Select	Please Select, to switch between list items use arrow buttons.
If Yes - Please Specify :
1	I hereby agree to pay program fees* as noted below (*all profits will be donated back to your school), $90 + HST (one forty (40) min class per week for six (6) weeks. Make-up classes to be scheduled at local NKS, parent attendance required.
2	Program to be paid by: E-transfer sent to thornhill@northernkarate.com on / before second (2nd) class.
3	I understand and agree that no refund will be due to me after the second (2nd) class.
4	I agree that my child will adhere to NKS Lunch Program safety guidelines, or s/he will be required to leave the program.
5	I understand that NKS Lunch Program graduation will be conducted off-site (at the local NKS) and participants must be accompanied by a parent/legal guardian who will receive additional program information.
Program Fees	$101.70
Northern Karate Contact Details:	Phone: 416-999-9345 , Email: office@nksthornhill.com
E-Transfer Email:	thornhill@northernkarate.com