ADULT PARTICIPANT FORM

  • ADULT PARTICIPANT FORM :

  • Todays Date*
     - -
  • Format: (000) 000-0000.
  • Gender
  • What classes are you interested in? Please Select one*
  • Have you ever trained in any martial arts or self-defense before? *
  • Are you currently involved in any sports, activities, or exercise program?*
  • If yes, will your participation in that activity, sport, or exercise program interfere with your ability to attend classes on a regular schedule?*
  • Is there a possibility that your work schedule could interfere with your ability to attend classes on a regular schedule during the next 12 months?*
  • Are you planning on participating in anything in the future that could possibly prevent you from attending class during the next 12 months?*
  • Are you planning on leaving the area for either a short time period or for an extended period of time within the next 12 months?*
  • Do you plan on permanently moving during the next 12 months?*
  • Have you set aside a budget for your training?*
  • Can you comfortably budget somewhere between $40 to $80 each week for your training?*
  • After the trial class, is there anyone you need to consult with before signing up?*
  • If yes or no, select one:*
  • How soon where you looking to start?*
  • Do you have any physical limitations or injuries?*
  • Do you have any medical conditions?*
  • Are you currently taking any kind of medication?*
  • What type of workout are you interested in? Select one:*
  • How many days a week would you like to attend? Select one:*
  • Rows
  • What are you interested in learning? Select the ones that apply:*
  • What are your training Objectives? Select the ones that apply:*
  • Which benefits you would like to receive from Martial Arts instruction? Select the ones that apply:*
  • Should be Empty: