Children's Program

Children's Registration

Fill out the form below and you'll be redirected to Stripe to complete your payment. It only takes a few minutes.

After you submit, you'll get a confirmation email. Children's class is every Saturday at 10:00 AM — just show up and let an instructor know you're registered.

Child

First Name *

Last Name *

Date of Birth *

Parent / Guardian

First Name *

Last Name *

Mailing Address

Street Address *

City

State

ZIP Code

Contact Details

Email Address *

Phone Number *

Liability Waiver

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I confirm that I am 18 years of age or older and the parent or legal guardian of the Minor Participant identified in this application. I have read and understand this Parent/Guardian Consent, Assumption of Risk, Release of Liability, and Indemnity Agreement. I consent to enter into this Agreement electronically. By checking this box and submitting this form, I voluntarily agree to be legally bound by this Agreement as a condition of the Minor Participant's membership and participation at Midwest Aikido Center.

Signature * — sign in the box below to accept the waiver

Questions? Contact us at [email protected] or call/text 773.477.0123.