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> Prospective Student (Child)

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Prospective Student (Child)

We understand that searching for the best education for your child/children is of utmost importance.

In today’s educational systems, it is a very serious decision as a parent on where to place your children. As a parent myself, I am very selective where I enroll my children for furthered education. This also includes extra curricular programs such as the martial arts. Of course when it comes to your family’s safety, there is no limit to what you want for them.

If you are interested in enrolling your child/children in the martial arts programs here at the Phoenix Academy, please take a moment to fill out the form below so that we can help assist you in finding the best program that will benefit your child or children.

One of the main goals here at the Phoenix Academy is the personal development of your child. Please feel free to include any comments or concerns you may have. You will receive a prompt response.

To say thanks for your time in filling out the form, you will receive a special discount on any of our tuition programs.

Note: the information given below will NEVER be shared with any other company or agency.

Prospective Student Form (Child):

Is your child the type that likes to come home after school and:
Study or Play music Play video games Play sports or games

 

Please check what goals you are interested in for your child: (please mark all that apply)
Self-confidence Self-defense Coordination/Balance Discipline

 

Does your child have any previous martial art experience?
Yes No

 

If yes, please explain (style, duration, rank obtained):

 

Childs Age: Childs Birthday (mm/dd/yyyy):  /  / 

 

How did you hear about us?

 

If you were referred, by whom?

 

Child's First and Last Name:

Parent/Guardian First and Last Name:

 

Address:

 

City: State: Zip:

 

Phone: Email:

 

Questions, concerns, or comments:

 

Yes, please keep my child's name in your mailing list to update me of any Special Offers and Free Newsletters.

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