After School Kung Fu: Benchley-Weinberger Elementary Registration - 5 Elements Martial Arts San Diego
Benchly-Weinberger Elementary registration form for After School Kung Fu. If you are signing up more than two children please complete an additional registration form.

Dates: Mondays 4/10 - 5/15

Time: 2:25 - 3:15 pm

Meeting Area: Benchley-Weinberger Kindergarten Playground.

Grades: K-5

First Student
Student Name
Your answer
Gender
Grade
Teacher
Your answer
My child attends after school care (SAY, YMCA, Klassic Kids, Prime Time)
Second Student (if applicable)
Student Name
Your answer
Gender
Grade
Teacher
Your answer
My child attends after school care (SAY, YMCA, Klassic Kids, Prime Time)
Contact Information
Parent/Guardian Name
Your answer
Home Address
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Work Phone
Your answer
Email Address
Your answer
Additional Parent/Guardian Name, Phone, Email
Your answer
Terms and Conditions
Terms & Conditions: http://goo.gl/SjdKzb
Required
Meeting Area
Required
Payment
Payment must be made before your reservation is complete.
I understand that I must submit my payment for After School Kung Fu classes to finalize my reservation. Completing this registration form without payment will NOT guarantee that a place will be held.
Required
Additional Comments (optional)
(If you have more than 2 siblings or special circumstances, you can mention them here.)
Your answer
Submit
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