Shaolin Temple Martial Arts and Cultural Centre - Fight for Fitness (Martial Arts resilience & wellbeing)

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Email *

Application for fully funded* Martial Arts, and Taichi classes in Harlow,

* Fully funded sessions are subject to eligibility criteria.

Please fill out the form in its entirety and submit and we will get back to you,

Multiple application can be submitted with the same email address for siblings.

First Name *

Last Name *

Date of Birth *

YYYY

Title *

Miss

Mrs

Dr.

Other:

Full Address *

Telephone *

Interested in *

Shaolin KungFu & Sanda (Age 14 to 45)

TaiChi (Age 45+)

Required

Household situation *

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