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Student Name*

Is the student under 18 years of age?*
—Please choose an option—Under 18 years18 or over

Email*

Phone Number*

Do you have any previous martial arts experience?*
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If yes, please tell us which martial art, for how long and where you trained:

Please indicate the main reason for your interest in Ranger Taekwondo (check all that apply)*:
Fitness and healthDisciplineCompetitive trainingSelf defenseConfidenceOther:

How did you hear about Ranger Taekwondo?*
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Comments, questions, or anything we should know about the student?

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