Bel Air Student Form
Hi Parent,

Thank you for your interest in our martial arts program at Bel Air.

Please take your time and be as detailed as you’d like when completing this form. Your insights, recommendations, and goals will help us create the best possible experience for them.

All information provided will remain confidential and will only be used by our team to support your child’s development.

If you have any questions or would like to share anything additional, feel free to contact me anytime at alex@teambelair.com.
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Email *
Your Full Name *
Phone *
Zip Code *
How did you hear about us?  *
If applicable, indicate who referred you to us.
Child's Full Name *
DOB *
MM
/
DD
/
YYYY
School *
Favorite Activities and Interests *
Most Disliked Activities
Past sport activities *
List sport activities in which your child participated in the past year, and describe his/her overall experience.
Current sport activities *
List current sport activities, and describe his/her overall experience.
Strengths *
Ex: personality traits, social, language, literacy, math and logic, study, sport, art, ...
Profile - Additional Comments
Anything else that you want us to know (Ex: health, routine schedule, character traits,  relationship with parents/siblings/teachers, important life events)
Do you consider your child as neurodivergent or needing more support? *
Please answer Yes if you child has a diagnosis/suspected diagnosis (ex: ASD, ADHD, Anxiety, Sensory, Trauma, ...) or/and is currently attending therapy.
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