ENROLLMENT | Warrior Kids

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PARENT / STUDENT INFORMATION

Parent Name*

Phone Number*

E-Mail*

Address*

Student Name*

Student Date of Birth (MM-DD-YY)*

Student Gender*

For multiple students add additional names and date of birth here

Primary Interest (Chose all that apply)*

Health & Fitness

Discipline & Focus

Confidence & Self Esteem

Self Defense / Bully Defense

Coordination & Athletic Development

Physical & Mental Toughness

Social & Team Interaction

Work Ethic & Drive

Martial Arts Competition

Other

In a few sentences describe the reason you would like your child to train at WU as well as a few goals you would like to achieve from the training.*

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