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Martial Arts Registration
9
Questions
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1
Name of student
*
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First Name
Last Name
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2
Email
*
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example@example.com
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3
Phone Number
*
This field is required.
Area Code
Phone Number
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4
How did you hear about us?
Google search
Facebook Ad
Website
Blog
Referral
Google search
Facebook Ad
Website
Blog
Referral
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5
What are your primary goals? Please select all that apply.
Learn martial arts
Fitness / health
Social / friends
Discipline / self-control
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6
Were you referred to Raise Leaders?
Enter their name here
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7
Please list any health conditions and medications that we should be aware of.
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8
Register for Classes
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( X )
TKD at Raise Leaders studio
First payment includes the uniform
$
175.00
for the
first month
then,
$
125.00
for each
month
SUBSCRIBE
Add Family Member
$
150.00
for the
first month
then,
$
100.00
for each
month
SUBSCRIBE
Credit Card
First Name
Last Name
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9
Terms and Conditions
*
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I agree to all terms
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