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

Dates: Wednesdays 1/24 - 3/14

Time: 12:30 - 1:20 pm

Meeting Area: Wegeforth Elementary Kindergarten playground

Grades: K-5

First Student
Student Name *
Your answer
Gender *
Grade *
Teacher *
Your answer
Second Student (if applicable)
Student Name
Your answer
Gender
Grade
Teacher
Your answer
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
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