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Contact Information
LOTUS MIXED MARTIAL ARTS FUTURE FAMILY MEMBER
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* Indicates required question
Name (Parent/Guardian)
*
Your answer
Phone number
*
Your answer
Email
*
Your answer
Name (Future Student)
*
Your answer
Age
*
Your answer
Uniform Chart
Uniform Size
*
*Refer to the chart above for accurate sizing*
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0
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Does you child have any food allergies? If so, please specify.
*
Your answer
Does your child take any medication that may have to be distributed by our staff?
For Example EpiPen or Asthma Pump,
Your answer
What would you like to see from your child improve in while attending Lotus Mixed Martial Arts ?
More focus.
Better Attitude.
Behavior adjusting.
Respectfulness.
Physically active or fit.
How would you like to participate?
*
Summer Program
Regular Martial Arts Class
Both
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