New Student?

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Are you a new student?

If so please fill out the form below so we can get to know you better. It will also help keep in touch with you and let you know what’s going on at the school. Thank you in advance and we look forward to see you in class.

Basic Info

Address

Age

Phone:

Second Phone

In order to determine if the Instruction at Fresno Kenpo Karate can adequately meet and serve your needs please complete the following:

Please check the benefits you would like to experience from Martial Arts Training at Fresno Kenpo Karate. Please Check all that apply.

Physical ConditioningAthletic SkillInner PeaceBetter GradesMore EnergySelf DisciplineSelf-ConfidenceTemper ControlWeight ControlOther:Better ConcentrationBetter Mental AttitudeSelf-DefenseRespect for Self/Others

NOW... Write in the box the most important benefit to YOU. (Parents)

Please Answer the following questions yes or no.

(#1.) Will you be living in the area for at least one year?
yesno

(#2.) Are you in good health and with no physical problems?
yesno

(#3.) Can you take lessons at an average of twice per week?
yesno

(#4.) Do you have a place to practice what you learn in class?
yesno

(#5.) Are you willing to develop mental discipline?
yesno

(#6.) Is a current member sponsoring you?
yesno

If so whom?

How Did You Hear About Us?

NewspaperBirthday PartyWebsiteBuddy DayChild SafetyDemonstrationDirect MailFamily MemberFlyerWalk By:Guest PassKnow ForeverLead BoxReferralSaw Sign:T.V.OnlineEvent: