Trial Lesson Booking

WING CHUN KUEN TRAINING CENTRE
Trial Lesson Booking

Registration Form
Student Name:*

First NameLast Name
Gender*

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Birth date*

DayMonthYear
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-defenceInterested in traditional martial artTo start a new fitness regimeAs a leisure pastimeIt is trending nowAccompanying friend/s and/or family member/sCurious about Wing Chun KuenExploring a new martial art that is different from what I have practised beforeOther
2. Which type of training interest you?

Strength building exercisesCardio exercises that build staminaBody conditioning and toughening of the hands and legsFlexibility exercises to increase joints mobilityReal-life situation testing of the strokes and techniquesOn the street self-defence movesKnife defenceGrappling and throwsJoint-lock techniques and chokesOther
3. How would you like your training?

Competitive and limit pushingIntensive and goal orientedRelax with individual paceAlternate between the Intensive and Relax modeOther
Payment
Trail Lesson Fee S$50*

Cash - please make payment before the lesson beginsMobile payment - please request mobile payment informationOnline 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