Life Ki-do Secure Payment Method Update Link

PARTICIPANT #1 INFORMATION

Student First Name *

Last Name *

Preferred Email Address

Additional Students on account:

PAYMENT INFORMATION

Please select one of the following forms of payment below: *

Electronic Check

Credit/Debit Card

Comments

Your information will be sent via our secure website. Completing this registration form authorizes Life Ki-do to automatically charge/deduct the fee from your account. Failure to attend class does not constitute a refund or cancellation and returned transactions are subject to a $25 returned transaction fee.

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