Contact Info

Parent Name

Gender

Mailing Address

City, State, Zip

Email

Evening Phone

Age

Student Name

Cell Phone

Work Phone

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!

ALMOST GONE!

How did you hear about the academy of Kung Fu?

Who?

Describe

We have just 9 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.

*Instructions will be sent via email

If you have a coupon, please bring it with you for your Introductory Lesson

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

Malco Theater

Yellow Pages Online

Halloween Card (Referral Code)

FOX TV Ad