Trial Lesson Booking

WING CHUN KUEN TRAINING CENTRE
Trial Lesson Booking

Registration Form
Student Name: *

First Name Last Name
Gender *

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Birth date *

Day Month Year
Date
E-mail *
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Phone Number *
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Do let us know more about your expectations.
1. Reason/s for the Trial Lesson

Learn self-defence Interested in traditional martial art To start a new fitness regime As a leisure pastime It is trending now Accompanying friend/s and/or family member/s Curious about Wing Chun Kuen Exploring a new martial art that is different from what I have practised before Other
2. Which type of training interest you?

Strength building exercises Cardio exercises that build stamina Body conditioning and toughening of the hands and legs Flexibility exercises to increase joints mobility Real-life situation testing of the strokes and techniques On the street self-defence moves Knife defence Grappling and throws Joint-lock techniques and chokes Other
3. How would you like your training?

Competitive and limit pushing Intensive and goal oriented Relax with individual pace Alternate between the Intensive and Relax mode Other
Payment
Trail Lesson Fee S$50 *

Cash - please make payment before the lesson begins Mobile payment - please request mobile payment information Online payment - please request internet banking details
I understand that all sports carry a risk of injury and that Wing Chun Kuen Training Centre is not responsible for injuries or losses suffered as the result of parting in these activities.

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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WING CHUN KUEN TRAINING CENTRE

Trial Lesson Booking

Do let us know more about your expectations.

Payment