Yong In Martial Arts Starter Package Registration Form

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Please enter your information below and select a time that works best for you for the trial lesson. This trial package includes 1 private and 2 group lessons for $44.99 with 1 person or $69.99 with 2 people. This is 2 weeks Program. *(We are required to pay tuition when booking an appointment) *

Email *

Kick Together, Stick Together!

How did you Hear about us? *

Walk-In

Friend

Buddy Day

Web serch

Magazine

Events at the booth

Yong In Birthday Party

School Name

School Grade

Student Name / Age *

Student Name / Age

Student Name /Age

Parents Name *

Phone *

Do you prefer contact by? *

Text

Phone call

Please let us know about your goal with Takewondo

Specify the date for your private lesson *

Please choose the payment *

paypal.me/YongInMartialArts

Zelle: 919-280-8040

Pay on the phone

Pay in person

Promo code (if have)

T-shirt Size

YXS

YXL

ADS

ADM

ADL

ADXL

STDNT 1

STDNT 2

STDNT 3

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Paid Starter Programs are Non-refundable. Once initial program begins, students must complete the program within two weeks. Students who do not return to complete remainder of the program, will forfeit their paid program after 180 days. (Starter Program bookings must be paid, once a date and time appointment is confirmed. Please answer below: Yes, Y, I agree, I concur. *

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Please Write your Initials as agreement to the following Waiver *

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