New Student Application Form
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Name *
Lastname *
Poly ID # *
Necessary for students and members of NYU-Poly. Put 0 if you are not affiliated with NYU-Poly
NYU ID # *
(Ex. N12345678) Necessary for students and members of NYU. Put 0 if you are not affiliated with NYU.
Date of Birth (mm/dd/yyyy) *
Contact e-mail *
This e-mail will be added to NYU-Poly Aikido e-mail list and will be used for important updates in classes.
Phone number
Emergency Contact *
Name and Phone number of your emergency contact
Do you have a medical condition?
Background on martial arts or other sports activity
How did you hear about NYU-Poly Aikido Dojo?
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