Student Dues

Pineda’s Kenpo Karate is happy to offer a way to pay your student dues each month with our online services.
Other options are available through the studio only and by speaking to Sifu Jim, such as,
Pay for: 3 months (1 private lesson), 6 months (2 private lessons), 1 year (4 private lessons)

Step 1 of 2

Enrollment Fee*
- Kids Class
- Adult Class
- Women’s Self-Defense
- Family Class
- Student Portal
- Annual Insurance Fee
Kids Class*
- One Child +$60 / Month
- Two Children +$30
- Three Children +$30
- Four Children +$30
Adult Class*
- First Adult +$80
- Second Person +40
Women's Self-Defense*
- Single +$30
- Second Person +$15
Student Portal*
- Single Student +$15
- Family +15
- Non-Student +25
Family Class*
$55 / Month For One Student +$25 Each Additional

Price:
$55.00
Annual Insurance Fee*
$10 Per Student
Total
$0.00

Parent / Guardian Name*

First

Last
Address*

Street Address

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific
State

ZIP Code
Phone*
Email*
Student Information
How Many Students
12345
First Student Name*

First

Last
Second Student Name*

First

Last
Third Student Name*

First

Last
Fourth Student Name*

First

Last
Fifth Student Name*

First

Last
Total
$0.00

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Student Dues

Student Dues

Step 1 of 2

Student Information