Three Acts of Goodness Children Kung Fu Program Application
2019/4/6 ~ 2019/5/25
Name (姓名) *
Your answer
Email (電子信箱地址) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Sex *
Age ( 4- 12)
Your answer
Height *
Your answer
Weight *
Your answer
Parent's Name *
Your answer
Address
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Tel:
Your answer
Cel: *
Your answer
PARENT/LEGAL GUARDIAN MUST SIGN DISCLAIMER of LIABILITY FORM AT THE FIRST CLASS MEETING
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This form was created inside of International Buddhist Progress Society.