Suwanee Martial Art

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Martial Arts Registration

Student Name *

Date of Birth *

Age *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Parent / Guardian Name *

Cell Phone *

Work Phone *

Email Address *

Text

Waiver/Release Statement

Consent *

Yes, I agree with and Acknowledge the Waiver/Release , also the fee structure that has been outlined above.

Teacher

Room Number

Checkbox

McKendree UMC PreschoolToday’s KidsBriscoe Park1st Baptist Duluth PreschoolWonder World AcademyPrimrose SugarloafAl Falah AcademyChristian BeginningsKids R Kids Suwanee

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