REGISTRATION FORM - Academy at Rising Sun - Martial Arts for All Abilities
Please complete ONE form per student. Go the the PayPal option to pay online OR bring tuition to the dojo at first class.
Email address *
Date *
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Handwraps are available to purchase!
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New Students *
Student First Name *
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Student Last Name *
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Age *
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Current Grade in School if applicable
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Name of School or Employer
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Home Street Address *
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Town *
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State *
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Zip Code *
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Phone Number *
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Can we text at the number provided above? *
Email Address *
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Does this student have any disabilities, special needs or considerations either diagnosed or undiagnosed. *
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List any medications that may affect your ability to participate. (Balance, dizziness, shortness of breath)
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List any allergies
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Who should we contact in case of emergency
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How did you hear about our programs?
Thank you! Click here to return: www.AcademyatRisingSun.org
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Morning Stretch - A great way to start your day!
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