NECWA WUSHU Registration
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: *
Your answer
Name of Parent(s): *
Your answer
Date of Birth of student: *
MM
/
DD
/
YYYY
Address: *
Your answer
Phone number to contact? *
Your answer
Student height? As accurate as possible. *
Your answer
Allergies and Dietary restrictions? *
Your answer
Anyone refer you? If yes, please provide name. If not, type 'no'. *
Your answer
How will you pay: *
Membership option *
Which session are you signing up for? *
Required
Goals for Wushu? *
Your answer
THANK YOU FOR REGISTERING!
If paying online, please add desired purchase option to cart below. Create/login to ACCOUNT and complete checkout.
DISCOUNT policy: payment must be received before the end of discount end date. This applies to payments online, cash or check. Tuition reverts to original pricing otherwise. Strictly enforced.
A copy of your responses will be emailed to the address you provided.
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