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Student Information Form
Please fill out this form for new students. All information will be held confidential, and is used strictly for communication about classes and the student's safety. By clicking submit, you agree that the information submitted is correct and true to the best of your knowledge.
Name of student
Name of parent/guardians and relationship to student (if applicable)
Age of student
Which class will the student be enrolled in?
Girl Power (girls ages 6-13)
Peaceful Warriors (boys ages 6-13)
The Middle Path: Kung Fu for teens and adults
Phone number of student and/or parent/guardian
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