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Get Hauppauge Karate Club Registration

______________________________________ State: __________ Zip: __________ Age: ________________________ Phone: ____________________________________ Shirt Size (Circle One): Youth S M L XL Adult S M L XL XXL E-Mail: __________________________________________________________________ Years Training: __________________ Years with HKC: ________________________ Rank: ______ White Belt – No stripes (10th kyu) ______ Green Belt – One stripe (5th kyu) ______ White Belt – One stripe (9th kyu).

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