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Kung Fu Class Student Sign-Up Form
Full name
*
Age
*
Email
*
Phone
*
Location
*
What inspired you to join a martial arts class?
*
What are you hoping to gain from your martial arts training?
*
Health & fitness
Stress relief
Self-discipline
Confidence building
Self-defense skills
Mental focus
Other
How did you hear about this class?
*
Facebook
Friend or family
Zen City Foundation
Chuan Wu Institute
Other
Do you have any medical conditions or physical limitations we should be aware of?
*
No
Yes → Please explain:
Have you practiced martial arts before? If so, what style and for how long?
*
No, I’m new to martial arts
Yes → Style, Duration:
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