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Kids 3.5 - 13
>
3.5 - 4 Tiny Tigers
4 - 7 Little Warriors
8 - 13 Young Dragons
Adults & Teens 13+
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Striking
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Ephrata Martial Arts
Waiver for Free Trial Class
Please
contact us
to schedule your free trial class before completing this form.
Name of Parent/Guardian (if applicable)
*
*
Indicates required field
Email
*
Student Name
*
Student Birth Date
*
Class Placement for Student
*
Select One
Ages 4-7: Little Warriors
Ages 8-13: Striking/Grappling
Ages 13+: Striking/Grappling
I/we agree to the following:
I/we will follow the studio's photography guidelines. No flash. Shutter sound off. Take photos discreetly so the students and instructor are not distracted by it. Photograph your child in action, and not the instructor demonstrating.
I/we will not talk/signal to students during class.
I/we will wear shoes in the bathroom.
I/we will keep shoes off the training mats.
I/we will keep our voices down, will mute sound on electronics, and take phone calls outside.
Student or Parent/Guardian Signature
*
Please type your name.
As the student and/or the parent/guardian of the student listed above, I understand that martial arts is a physical activity in which accidents and injuries may occur, and I agree not to hold Justin Press, Ephrata Martial Arts, and/or its teachers or associates responsible for any loss, injury, accident, or liability that might occur while I or my child are participating in classes, competitions, etc. I further state that all students listed are in good health and are not restricted from any physical activities such as martial arts, etc
Student or Parent/Guardian Signature
*
Please type your name.
Submit
Home
About
Meet the Team
Testimonials
Contact
Classes
Class Schedule
Kids 3.5 - 13
>
3.5 - 4 Tiny Tigers
4 - 7 Little Warriors
8 - 13 Young Dragons
Adults & Teens 13+
>
Striking
Grappling
MMA
Self Defense
Trial Class Waiver
Register for Class
>
Registration
Add Family Member
Tiny Tigers Registration
Videos
Gallery