Indonesian Silat Class Sign Up Start Date* Student's Full Name* Age* Parent's Full Name Phone* Student's Email* Parent's Email Address Allergies / Other Concerns What Goals Do You Have For Your Training Experience? Free Trial Class or Monthly Payment Options Free Trial (+$0) 1 Class Per Week (+$70) 2 Classes Per Week (+$100) 3 Classes Per Week (+$130) Which Class Are You Registering For? Monday 6:00-7:30 Women Over 40 Martial Arts Tuesday 5:30-7:00 Beginner Adult- Teen Silat Thursday 6:30-8:00 Beginner Adult- Teen Silat Saturday 12:00-1:30 Mixed Level Adult- Teen Silat Saturday 10:00-10:45 Teen Only Silat Please verify your request* Submit
