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487 Valley Street
Maplewood, New Jersey 07040
973-761-1671

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20 Center Street Springfield, NJ 07081
973-376-5425

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Information Request Form

To get started, all you have to do download the application and mail it to us, fill out the following form or give Blue Life Karate Centers a call at: Maplewood: 973-761-1671 or in Springfield: 973-376-5425

Come in set up an appointment to meet one of our certified instructors. You may also send us an email and we will be happy to get back with you.

 

              



All fields are required.

Full Name:
E-mail Address:
Street Address:
City:
State:
Zip Code:
Phone Number:
Location Interested In:

Maplewood
Springfield

Programs Interested In:

Mommy and Me Program
Child Beginner
Preteen / Teen Class
After School Program
Summer Fun Day Camp
Birthday Parties
Martial Arts for Adults
Xtreme Kickboxing

What time slot and location would you like for your introduction class:
How did you hear about us?

Would you like to join our school newsletter? Yes

Who will be participating in our programs? Please specify their names, age, and relation to you.

Additional Comments:
 


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