Aikido Eastside Adult Beginner Special Registration

Aikido Eastside Adult Beginner Special Registration
CONTACT INFORMATION
Full Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
E-mail
Phone Number

Area Code Phone Number
EMERGENCY CONTACT
Full Name

First Name Last Name
Phone Number

Area Code Phone Number
OTHER CONSIDERATIONS

Please note our beginners programs start on the first Tuesday of every month.
Martial Arts Experience
Risks, Physical Restrictions
When would you like to begin?

Month Day Year
Price
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One Month Beginner Special $ 49.95
REFERRAL INFORMATION

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