• Child 

    Participant

    Form 

  • Todays Date*
     - -

  • Parent Contact Information

  • Format: (000) 000-0000.

  • Child Information

  • Gender

  • TRAINING EXPERINCE

  • Has your child ever trained in any martial arts or self-defense before?*

  • TRAINING INTEREST & GOALS

  • Was taking martial arts your child’s idea, your idea, or shared?*
  • What are the main reasons why you want your child involved in martial arts? Select the ones that apply:*
  • What classes are you interested in for your child? Please Select one*

  • TRAINING AVAILABILITY

  • Is your child currently involved in any sports or activities?*
  • If yes, will it interfere with their ability to attend classes on a regular schedule during the next 12 months?*
  • Is your child planning on participating in anything in the future that could possibly prevent them from attending class during the next 12 months?*
  • Is your child planning on permanently moving during the next 12 months?*
  • Is your child planning on leaving the area for either a short time period or for an extended period of time within the next 12 months?*
  • When are you realistically planning to start classes for your child?*

  • TRAINING BUDGET

  • Have you set aside a budget for your child's training?*
  • Our memberships range between $40–$80 per week. Is that comfortable for you?*

  • LOCATION

  • What part of town are you coming from?*

  • DECISION MAKERS & SUPPORT

  • Will another parent or guardian also be involved in the enrollment process?*
  • Format: (000) 000-0000.
  • is there anyone else you need to consult with before enrolling your child for classes?*
  • If yes or no, select one:*

  • HEALTH & SAFETY

  • Does your child have any physical limitations or injuries that we should be aware before they start training?*
  • Does your child have any medical conditions, or special considerations we should be aware of before they start training?*
  • Is your child currently taking any kind of medication?*
  • If yes, will the medication affect physical activity, balance, focus, or participation during training?*

  • TRAINING COMMITMENT

  • What type of workout are you interested in for your child? Select one:*
  • How many days a week would you like your child to attend classes? Select one:*
  • What are the best days for your child to attend classes? Select any that apply*
  • What are best times for your child to attend classes? Select Any*
  • Is earning a Black Belt something your child is interested in?*
  • Should be Empty: