Sign Up For A Class

Which branch are you interested?

Seattle, WA, USA

Mexico City, MX

Student(s) Full Name *

Student's Age *

Parent or Guardian

If applicable

Phone Number *

Email *

Emergency Contact *

If applicable

Emergency Contact Phone Number *

Emergency Contact Email *

How would you like us to contact you? *

Text

Interests (check any that apply) *

I am a complete beginner

I am experienced and looking to continue learning

After school or Camp availability

Try a free kids class

Try a free adult class

Additional notes or questions

All participants, acknowledged above and their parental guardians (if under 18) understand the risk of personal harm and or damage of personal properties while participating in any programs, activities, classes, or under the supervision of any agents of JunHong's Kung Fu Club LLC and wave the ability to hold JunHong's Kung Fu Club LLC and any of its personnel liable, whether it be on JunHong's Kung Fu Club LLC premises, being transported by JunHong's Kung Fu Club LLC personnel, or participating in activities away from JunHong's Kung Fu Club LLC premises. All participants acknowledged above and their parental guardians (if under 18) also authorize the publication and use of pictures taken of all participants acknowledged above by JunHong's Kung Fu Club LLC to be used for marketing, promotion, and sharing on social media outlets operated by JunHong's Kung Fu Club LLC.

* I acknowledge and agree with the above waiver

Signature

Must be 18 to complete this form

JunHong's Kung Fu Club

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