Enrollment Assistance Form
Registration for Wushu. more info at www.newushu.com
Any questions please email: nemawushu@gmail.com or contact us via WeChat.

Please fill out a separate form per student.
Burlington: 123 Muller Rd Burlington MA 01803
Newton: 66 Winchester St newton 02461
Andover: 497 S Main St Andover, MA 01810
Email address *
Name of student(s): *
Name of Parent(s): *
Date of Birth of student: *
Address: *
Phone number to contact? *
Student height? As accurate as possible. *
Anyone refer you? If yes, please provide name. If not, type 'no'. *
How will you pay (we will email you with specific instructions): *
Choose the program you wish to enroll *
Goals for Wushu? *
THANK YOU FOR REGISTERING!
You will receive emails on next steps.
A copy of your responses will be emailed to the address you provided.
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