Trial Registration Kids

This registration is for ages 10-16. Please note that we have two separate kids programs. One tailored towards self-defense (Program 1) and the other sports competitions (Program 2). You are welcome to try both to see which program is more suitable for your child.  Class Schedule:

• (Program 1): Monday/Wednesday, 5:30 PM to 6:30 PM
• (Program 2): Tuesday, 5:00 PM to 6:30 PM AND Sunday, 2:00 PM to 3:30 PM

Parent/Guardian Name *

First

Last

Email *

Phone *

Enter the best phone number we can reach you.

Number of Kids *--- Select Choice ---One (1)Two (2)

Select the number of kids that will participate in the trial lessons.

Name and Age of Child 1 *

Example: Cinta age 10

Name and Age of Child 2 *

Example: Cinta age 10

Trial lesson(s) *--- Select Choice ---One lesson - $10.00Two lessons - $20.00

Select the amount of trial lessons.

Second of for

Trial lesson(s) for two kids *--- Select Choice ---One lesson - $20.00Two lessons - $40.00

Select the amount of trial lessons.

First lesson *--- Select Choice ---Monday, 5:30 PM to 6:30 PM (Program 1)Wednesday, 5:30 PM to 6:30 PM (Program 1)Tuesday, 5:00 PM to 6:30 PM (Program 2)Sunday, 2:00 PM to 3:30 PM (Program 2)

Select the day of your trial lesson.

Date of first lesson *

Select the date of your first lesson.

Second lesson *--- Select Choice ---Monday, 5:30 PM to 6:30 PM (Program 1)Wednesday, 5:30 PM to 6:30 PM (Program 1)Tuesday, 5:00 PM to 6:30 PM (Program 2)Sunday, 2:00 PM to 3:30 PM (Program 2)

Select the day of your trial lesson.

Date of second lesson *

Select the date of your first lesson.

Total Amount

$0.00

Stripe Credit Card *

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