Khan-Fu Panda Mixed Martial Arts - Winter Session
Khan-Fu Panda MMA (Mixed Martial Arts) for kids will run for 4 months. Your child will deepen his or her understanding of techniques such as striking, kicking, punching, grappling, take-downs and other areas of self-defense. This is a beginner martial arts course with no prior experience necessary. The focus is on fun, while at the same time introducing the basic concepts of a variety of martial arts for self-defense. The program is set to build your child’s physical fitness, mental preparedness, confidence and instilling the esteemed values of the martial arts.

Instructors: Osaed & Aasiyah Khan
Dates: 3 month weekly (Sundays) program (Sunday, Jan. 31 - Sunday, April 24 | NO class Feb. 14th)
Boys: 9am - 10am / Ages: 4 - 9
Girls: 10am - 11am Ages 9 - 12
Location: Waverley Grand Mosque Gym
Fee: $80/child
(Pay only $75 if paid before Jan. 31st. Osaed will be available at the Grand Mosques on Sundays at 11am - Noon or contact osaed4@gmail.com to make arrangements. Will accept email payment.)

Risks:
I recognize that Martial Arts exercise carries some risks of injury (sprains, strains) and the cardio-respiratory system (dizziness, discomfort in breathing, heart attack). I hereby certify that I know of no medical problem, which would increase my child’s risk of illness and injury as a result of participation in a regular martial arts program.By signing this consent form, I understand the risks and benefits my child may experience with exercise. I also waiver the responsibility of Osaed Khan and Aasiyah Khan if my child should incur any injury as a result of participating in a Martial Arts class.

Policy:
- Khan-Fu Panda MMA is for children between the ages of 4 to 9 for boys and 9 to 12 for girls.
- The cost will be $75/child for a minimum of 10 sessions (starting Sunday , Jan. 31st)
- Will take place at the Grand Mosque Gym. Please arrive 10min before hand to come prepared to begin on time.
- Please pick up your child on time. Late pickups will result in a $5 MIA donation charge.

What to wear:
- athletic clothing with no zippers or buttons.
- no jewellery or wristbands
- expected to be bare feet during class.
- boys - long pants and short sleeve shirt is preferred.,
- girls - long pants and shirt is preferred. If girls wear hijab, No pins if possible.

Expectations of Children
- Khan-Fu Panda kids are expected to participate in lessons and activities.
- If there are behavior concerns the parents of the child will be consulted and if necessary the child will no longer be allowed to participate in the program.

For more information, email osaed4@gmail.com

Child's First Name
Your answer
Child's Last Name
Your answer
Gender
Age
Limited spots
Parent/Guardian's Full Name
Your answer
E-mail Address
Your answer
Primary Contact Number
Your answer
Other Contact Number
Your answer
MHSC #
6 Digits
Your answer
PHIN #
9 Digits
Your answer
General Health: Has your child suffered or been diagnosed with any of the following:
If yes to one of the injuries in the previous question, please give details. (e.g. date of occurance, status of recovery etc.)
Your answer
Does your child take any prescription or over the counter medications? If yes, please list.
Your answer
Does your child need a rescue inhaler?
I have read and agreed with the Policy, Expectations and Risks outlined above.
Required
In case of emergency, permission is granted for our child to be taken to hospital by organizer to receive the medical care that they might need.
Please initial
Your answer
I consent to the use of photographs or video footage of my child for use on the Manitoba Islamic Association website, in newsletters and different publications. I further understand that this consent may be withdrawn by me at anytime, upon written notice. I give this consent voluntarily.
Please initial
Your answer
Comments
Your answer
T-Shirt Size (Trying to get, no promises)
Kids Size Chart
Men's Size Chart
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms