Silicon Valley Kung Fu Academy
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Trial Class Registration Form
Name
*
First
Last
Name of the student who will be taking class
Email
*
Will be used for mailing list (if subscribed) and confirmation; we will not spam or your address
Phone Number
*
A phone number where student or parent/legal guardian can be reached
Age
*
Under 5 years
5-16 years
Over 16 years
Prefer not to say
Age of the student who will be taking class
Additional Info
*
Tell us about yourself (student). - What class(es) you are interested in? - What is your goal for taking this class? - Have you had prior experience in martial art?
Submit
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