Back to school Special

This introductory session includes a private orientation lesson, two weeks of classes, and a 10 minute extra help lesson for for only $35! We'll even give you the uniform!

 The first class is the private orientation lesson. For children it sets the rules and goals. For adults, it's a look into the future – a sample of how this all works. We'll share with you or your child the basics of how to do stances, a punch, kick, and block. Adults will learn one of Kenpo Karate's self-defense techniques. This lesson will give anyone enough to get started in the group classes and reduce that "I don't know anything" feeling we all had when we started. It will help answer all the questions you have about what is involved in pursuing the coveted Black Belt.

Registration is simple. Call us for an appointment for the orientation lesson or register now online and we'll call you to schedule your first class.

To enroll in the Summer Special, please fill out the information below:

Name:
Birthday:
Home Phone:
Work Phone:
Address*
City:
Occupation:
State:
Email:
Please take a moment to answer these questions so we may get to know you
better and determine how our instruction can serve your needs.
Previous martial art experience:
Why do you want to study Kenpo Karate?


Other:
Check the benefits you would like to experience from training:
Physical conditioning Self confidence Self defense
More energy Temper control Better coordination
Inner peace Better Grades Better Concentration
Weight Control Self Discipline Better mental attitude
Respect for Self and Others Other:  
Now, from the list above, please select the ONE, single most important benefit for you.
Are you willing to set a goal to improve your mental discipline and physical health?
Will you be living in the area for the next year?
Do you have a place to practice what you learn?
Is there any reason you cannot attend class twice a week?
How did you hear about us(ie., phone book, walk by, referral, etc.)?
Please list family members.
Parents:
Spouse:
Others:
Medical History
Please check if you have or had any of the following below:
Asthma or Allergies
Cardiovascular disease or symptoms
Major surgery within the past year
Currently in physical therapy if yes, please explain
Muscular or Skeletal problems (ie., broken bones, fibromyalgia, joint problems, etc.)
If yes to any of the above, please explain:
Please list any medications you are currently taking
that could affect you while on the training floor: