Bethesda Karate Registration

Tuesdays, 6pm-8pm | Please fill out this form and click submit.
We are looking forward to having you just us at Bethesda Karate! Detailed information about our instructor, what we do, what to wear, and other FAQs can be found on the website here.  
We encourage family participation! Parents, please feel free to join your children in participating at Bethesda Karate! Parents and guardians of students 5th grade and under are required to remain on campus for class.
Students with special needs are welcome in the class! We do ask that parental or family assistance be provided to aide us during instruction time.
Monthly fees are $20 per person or $40 per family. All fees will be donated to Bethesda Baptist Church. For different donation amounts, please contact Jerome Krejcha at 

Other fees may arise for future t-shirts and an eventual black belt certificate. All testing certificates from white belt to brown belt are included in the monthly fees.
Waiver & Liability Releases

Guidelines for Conduct

Any participant failing to abide by these rules may be sent home immediately.

• Possession of weapons, illicit drugs, alcohol, and tobacco products is prohibited.

• No sexual misconduct or inappropriate displays of affection (defined as exposure, touching, or inappropriate reference to body areas normally covered by undergarments).

• Be respectful and encouraging, maintaining a positive attitude toward others.

• Be respectful of both facilities and the property of others, including Bethesda Baptist Church, host homes, and event locations.

• Avoid using foul language or any speech (including “humor”) that puts down, makes fun of, or stereotypes other persons or groups.

I hereby give Bethesda Karate and Bethesda Baptist Church permission to reproduce, edit, exhibit, project, display, copyright, and publish, photographic images and/or moving pictures and/or videotaped images of me and/or Participant, with or without voice, in which I and/or Participant are included, in whole or in part, photographed, taped, videotaped, and/or recorded prior to, during, and/or after activities and events.

Please print, sign, and bring the following form to the first class:

Accident Waiver and Release of Liability


Tuesdays, 6pm-8pm
Please fill out this form and click submit.