"Only complete this form UPON INSTRUCTOR's DIRECTIVE".

This is the Tesho Goju official stuent registry that will transfer to our database to verify student affiliation with Tensho Goju.

First Name: Required
Last Name : Required
Phone: RequiredInvalid format.
Email: A value is required.Invalid format.
Address:
City:
State:
Zip Code:
Eye Color:
Hair Color:
Age: A value is required.
Enroll Date: A value is required.Invalid format.
Promoted:
Rank:
Title:
Nickname:
Required


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