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Kung Fu Class application
MIND & BODY MARTIAL ARTS
15563 Brookhurst Street, Westminster, CA 92863 * (714) 900-2390
Internet:
www.VietMartialArts.com
, E-mail:
thieulamthatson@gmail.com
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Student Name
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First and last name
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Email
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Phone number
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Student's Age
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Student's Height (example: 5'2")
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Have you ever practiced Kung Fu or other form of martial arts before?
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If Yes, please state your practice and last rank:
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Which class(s) do you want to enroll in?
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4:30pm - 5:45pm Class
5:45pm - 7:00pm Class
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Additional Information or Notes:
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