Contact Info
Name
Gender
Mailing Address
City, State, Zip
Email
Evening Phone
Age
Student Name
Cell Phone
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Yes, Count Me In!
I would like to reserve my spot to receive a FREE Month of Classes.
My information is below. Please contact me to schedule my Introductory Lesson!
How did you hear about the academy of Kung Fu?
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*Instructions will be sent via email
If you have a coupon, please bring it with you for your Introductory Lesson
We have just 11 spaces still available (As of 11-25-09). These will be awarded on a first come-first served basis.
If you would like to be considered first for any slots that are available, please apply by completing the form below. Any openings will be filled on a first-come first-served basis.

All new students must attend an Introductory Lesson to prepare them to participate in the group class. Introductory classes are held on Saturdays, and last about 45 minutes. After submitting the form below, we will call you to schedule your Introductory Lesson.
ALMOST GONE!
Direct Mail
Northside Sun
Coupon Book
Yellow Pages
Flyer
Saw Building
School Flyer
Gift Certificate
Parents & Kids Mag
Referral (Referrals are given priority)
Free Month Card (referral code)
Other
Yellow Pages Online
Malco Theater
Halloween Card (referral code)
FOX TV Ad