Student Application & Registration
INTERNATIONAL MANTIS KUNG FU CANADA
P.O. Box 789, Melville, SK  S0A 2P0
info@haojiamenmantis.com
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Email *
MVP
Class Options: (Fall Semester Beginning Sept 7)
Student's Name: *
Date of Birth: *
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Gender:
Parent/Guardian Contact Name:
* for students under the age of 18
Contact Number: *
Address: *
Medical Conditions:
Previous Martial Arts Training:
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