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Kids Class Wait List
Age 6 and up
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* Required
Student Name
*
Who will be taking the class?
Your answer
Student Birthday
*
MM
/
DD
/
YYYY
Parent Name
*
Mom, dad or legal guardian
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Which classes are you interested in?
Choose as many as apply
Kids Kung Fu (ages 6 and up_
Kids Kickboxing (ages 8 and up)
Notes
Please list any questions or any additional information you would like us to know
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