Enrollment Assistance Form
Registration for Wushu. more info at
Any questions please email:
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
Name of student(s):
Name of Parent(s):
Date of Birth of student:
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):
Venmo @NEWUSHU (please include students name in the note)
Credit Card / Virtual Terminal
Choose the program you wish to enroll
[New Student] Nov - Dec 2020 Online
[New Student] Nov - Dec 2020 Limited On-Site
[New Student] Nov - Dec 2020 Unlimited On-Site
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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