Fill Out This Form To

Complete Your Child's Enrollment!

Fill Out This Form To

Complete Your Child's Enrollment!

Fill Out This Form To

Complete Your Child's Enrollment!

Martial Arts Enrollment Form

Adult info:

First Name *

Last Name *

Email *

Cell Phone *

Address *

City *

State *

Postal code

You will be listed as the primary guardian. We require at least 1 other with DIFFERENT phone numbers and email addresses to be listed as emergency contacts. Please enter the information for Emergency Contact:

Emergency Contact #2 Name: *

Emergency Contact #2 Cell Phone (Do not use a phone number used for someone else): *

How did you hear about us? *

I agree In consideration for mine or my child's attendance and participation in the martial arts training offered by Bautista's Martial Arts. I, the student/parent, acknowledge the existence of certain inherent risks in this type of training and hereby agree to assume all risks. I further relieve the school, it's management, assigned staff and fellow students from any liability resulting from loss, whether personal belongings or bodily injury. I also hereby state, that myself or my child is physically fit to take the prescribed course of instruction and do so of my own free will in exchange for an agreed upon fee. I understand there is a no refund policy on any monies I will pay Bautista's Martial Arts.

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