Fall 2018 Classes begin August 28th

2018

Please see the registration form for more information or to enroll.

DallasKenpo.com

Children’s Kenpo Karate Classes at Merriman Park Elementary! Featuring 3-Steps to a Great Kid™ the

Martial Arts Character Development Program

Tuesdays Kinder - 6th Grade: 3:15pm - 4pm

Classes taught by Sensei Kellyn Laurinski

Fall 2018 Classes begin August 28th

2018

Please see the registration form for more information or to enroll.

DallasKenpo.com

Children’s Kenpo Karate Classes at Merriman Park Elementary! Featuring 3-Steps to a Great Kid™ the

Martial Arts Character Development Program

Tuesdays Kinder - 6th Grade: 3:15pm - 4pm

Classes taught by Sensei Kellyn Laurinski

Tuesdays Kinder - 6th Grade: 3:15pm - 4pm

Karate at Merriman Park Elementary is a year-long after school program that meets in the Fall and Spring semesters, culminating in our annual interschool “Kenpo Invitational Tournament” held at the Episcopal School of Dallas on April 6th, 2019. Students will have the opportunity to demonstrate and compete against one of our other twenty Chamberlain Studios after school karate programs in the Dallas area.

Classes meet on Tuesdays at the times listed below starting on August 28th and running through Dec 11th, 2018. There will be NO class on 11/20 (Thanksgiving). Belt promotion is completed at the end of the spring semester or sooner if your child is taking additional classes at the Lakewood or Love

Field studios (pricing below). Please visit our website at: DallasKenpo.com or call our office at: 214-351-5367 x2 for class times or more information.

Payment should be “In Full” for the semester, or via monthly AutoDraft. Visa, MC & Discover accepted. You may also pay over the phone by

calling our dojo office at: 214-351-5367.

Chamberlain Studios of Self Defense™ www.DallasKenpo.com Fax: 214-366-3916

Check One: Visa_____ MC ______ Disc _________ Card # :______________________________________ Exp: _____/______

OR : Check #: _______________

Student: _____________________________________________ Grade: _______ Birthdate:_______________ Date: ___________

Parents/Guardians: _______________________________________________________ Teacher Name:_________________________

Address: _____________________________________________________________________________________ Zip: _____________

E-mail(s): ________________________________________________ Phone: __________________ Phone #2: ___________________

Health Issues: ___________________________________________________________________________________________________

NEW Student semester costs include: tuition, custom karate uniform, belt promotion, student registration w/ handbook, initial CSSD patch & insurance. Checks should be made payable to Chamberlain Studios of Self Defense™ (or CSSD) and are due with the registration form. Please place all checks and registration forms in an envelope and give to the instructor, Sensei Kellyn Laurinski!

Fall Semester Pricing New Student Returning Student Sibling (25% off)

Fall Semester Tuition at Merriman Park $281

1x per week at Merriman Park $281

1x per week at Merriman Park $211

1x per week at Merriman Park

Add Unlimited classes at CSSD Add $65/monthly billing Add $65/monthly billing Add $50/monthly billing

Registration $60 $20 $20

Custom Uniform - $35 $35 _____ (optional for returning students) _____ (optional for returning students)

Custom Dojo Patch - $10 ____ (optional) ____ (optional) ____ (optional)

Karate Patches (not custom) - $5 each ____ (optional) ____ (optional) ____ (optional)

Student Skills Manual (optional - by rank)

Circle Rank Level! - $25 Skills for Belt Color (circle) Y, O, P, B, G, B3, B2, B1

Skills for Belt Color (circle) Y, O, P, B, G, B3, B2, B1

Skills for Belt Color (circle) Y, O, P, B, G, B3, B2, B1

Student Skills DVD (optional - by rank)

Circle Rank Level! - $25 Skills for Belt Color (circle) Y, O, P, B, G, B3, B2, B1

Skills for Belt Color (circle) Y, O, P, B, G, B3, B2, B1

Skills for Belt Color (circle) Y, O, P, B, G, B3, B2, B1

Student History Manual - $25 ____ (optional) ____ (optional) ____ (optional)

Custom Karate T-shirt - $15 YS, YM, YL, AS, AM, AL

(optional-circle shirt size) YS, YM, YL, AS, AM, AL

(optional-circle shirt size) YS, YM, YL, AS, AM, AL

(optional-circle shirt size)

Semester Totals: $________ $________ $________

Check One: Payment in Full _______ Monthly Draft _____