Kids Kung-Fu Class Registration - Spirit of the Heart

Which Class Day, Time & Location Would you Like to Join?*
Start Date*
Student's Name*
First Last
Age*
Parents Name
First Last
Phone*
Parent's Email*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Allergies / Other Concerns
What goals to you have for your child's training experience?
Kids Class Payment Options
Monthly Class Payment Options: Payment are Due on the 1st of Each Month. If you start mid-month, dues are pro-rated as outlined below.*
- 1 Class Per Week/Month
- 1 Class/Wk, Starting Week 2
- 1 Class/Wk Starting Week 3
- 1 Class/ Wk Starting Week 4
- 2 Classes Per Week/Month
- 2 Classes/Wk Starting Week 2
- 2 Classes/Wk Starting Week 3
- 2 Classes/Wk Starting Week 3
- 3 Classes Per Week/Month