Aikido of Northern Virginia Kids Class RegistrationRegistration for Aikido of Northern Virginia Kids Class - 2025 Summer Session July 7 - August 20: Class options Mondays 5:45 - 6:30 ($70) Wednesday 5:45-6:30 ($70) Monday and Wednesdays ($120) Name * First Name Last Name Email * Date of Birth * MM DD YYYY Guardian First and Last Name If under 18 years of age Cell Contact (###) ### #### Emergency Contact * Is the student vaccines up-to-date * We are requesting that only fully vaccinated students enroll at this time. If you have special circumstance please email us at aikido.nova@gmail.com Yes No Additional Infomation Thank you! We have received your Registration, we look forward to seeing you for the upcoming Session.