Filling out this form is totally voluntary. This information will not be given out to
anyone and you don’t have to fill in any blanks you don’t want to. This is just a
way for me to get to know you, what you want to see, your level of training, etc.
This will help me do my job better and show you the things that you’re really
interested in.

                                        Alan C. Babinec, Kenpo University