Junior Trial Class Form

Parent's / Guardian's Full Name (required)

Your Email (required)

Your Mobile Number (required)

Your Child's Age (required)
—Please choose an option—789101112   This class is for kids from 7 - 12 Years old. For other age groups, chose the classes below:

For 4 - 6 year olds, go to Little Dragons Classes.
Teens and older go to Adults Classes.

Where would you like to come and train? (required)
—Please choose an option—BuderimMooloolah Valley

Previous Martial Arts Experience

—Please choose an option—NoneAikidoBoxingBJJCapoeiraEskrimaGrapplingHapkidoIaidoJudoJiu JitsuKarateKaliKrav MagaKung-FuSilatTaekwondoWing-ChunOther

Level (if applies):

If you liked it after the trial class, could you come to both days?
—Please choose an option—YesNo

If you have any health condition that we need to be aware of, please let us know by selecting the list below. (required)
—Please choose an option—NothingAsthmaDiabetesArthritisKnee problemsHeart ConditionHigh Blood PressureEpilepsyAllergy (please put the details in the message)Learning difficultyAutismADHDEye Sight Problems

Please mention in the message if not listed.
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