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* 1. What is the age of your child?

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* 2. What is your child's gender?

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* 3. Classes are 1.5 hours long. Which time block works best for you and your child? 

Select all that apply and note your top preferred in the comment field by clicking "other"

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* 4. Which day(s) of the week work best for you and your child?

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* 5. On which date are you and your child available to start classes?

Date

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* 6. If your child has relevant experience in martial arts or other activities, please note the activity and years of experience. (ex: Tae Kwon Do, 3 years)

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* 7. Our gym is located in downtown Dillon. If you need help with transportation, please note that here and where your child would need to be picked up from? (ex: Summit Middle School)

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* 8. Discounts may be available for those with socioeconomic concerns. This may require appropriate documentation. If you would like to discuss options, select "yes" below.

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* 9. Please provide your email address and/or phone number below. 

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* 10. If you have any simple questions or comments, you can type them here (space permitted). For more in-depth commentary, we will reach out via the contact information you provided above.

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