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

Dates: Fridays 2/2 - 3/23

Time: 2:20 - 3:10 pm

Meeting Area: Kindergarten Playground

Grades: K-5

First Student
Student Name *
Your answer
Gender *
Grade *
Teacher *
Your answer
Second Student (if applicable)
Student Name
Your answer
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: *
Meeting Area *
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.
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