Kung Fu Class application
MIND & BODY MARTIAL ARTS
15563 Brookhurst Street, Westminster, CA 92863 * (714) 900-2390
Internet: www.VietMartialArts.com, E-mail: thieulamthatson@gmail.com
Student Name *
First and last name
Email *
Phone number *
Student's Age *
Student's Height (example: 5'2") *
Have you ever practiced Kung Fu or other form of martial arts before? *
If Yes, please state your practice and last rank:
Which class(s) do you want to enroll in? *
Required
Additional Information or Notes:
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