Shaolin Martial Arts Signup

Golden Lion Sausalito Martial Arts Application Form

2631 Bridgeway # C, Sausalito, CA 94965
Location:
I want to train in:
Name

First NameLast Name
Parent/Guardian

First NameLast Name
Gender

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 Sausalito Martial Arts of missed weeks.

I understand there is no refund for any fees or tuition paid.
In Studio Training:
Fees (Please select one training plan):
Click class to pay online or paypal @shaolin31

Payment can also be collected at the studio. Credit cards (mastercard and visa) or cash accepted.
Payment Cycle
Office Use Only: Paid cc _____ ck _____ cash ______ other ______
Waiver
Date

MonthDayYear
Please sign to authorize training
Should be Empty: