MMA Striking Class Registration
Sign up to participate in our MMA striking course. Please fill out all required information below.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
-
Month
-
Day
Year
Date
Do you have any prior experience with MMA or striking arts?
*
No experience
Beginner (less than 1 year)
Intermediate (1-3 years)
Advanced (3+ years)
Other
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please list any medical conditions or injuries we should be aware of
How would you like to pay?
*
Cash.app
PayPal
Venmo
Cash
You can choose to pay per drop-in session at $45 or opt for a monthly plan at $120.
Choose your payment plan
*
Drop-in $45
Monthly $120 (4 Sundays)
Register
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