Golden Lion Signup

Golden Lion Martial Arts Application Form
Location
I want to train in:
Name

First NameLast Name
Parent/Guardian

First NameLast Name
Male/Female/Other
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Birthday

MonthDayYear
Age
I understand that my payments continue even if there is a break in my attendance.

The student or guardian should notify the Golden Lion Martial Arts School of missed weeks.

I understand there is no refund for any fees or tuition paid.
In Studio Training:
Fees (Please select one training plan):
Payment Cycle
Please read fees and participation waiver in the main website.
Office Use Only: Paid cc _____ ck _____ cash ______ other ______
Payment can be collected at the studio or over the phone. Credit cards (mastercard and visa), cash or checks accepted.
Date

MonthDayYear
Please sign to authorize training. I have read, understand and agree to all conditions set forth on this application.
Should be Empty: