Three Acts of Goodness Kid's Kung Fu Class Application Form
2019: 9/7, 9/14, 9/21, 9/28,
10/5, 10/12, 10/19, 10/26,
11/02, 11/09, 11/16, 11/23
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
Your answer
Tel:
Your answer
Cel: *
Your answer
支付方式 Payment Method *
Fee: $100 per month, If pay online, please include transaction ID below. Thanks!
Month *
網上支付交易號碼 Online Payment ID :
Please include payment ID if pay by Zelle or Chase Quick Pay.
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.