Wu Dao Kung Fu & Tai Chi Membership Registration Form

Member Name *
Member Name
Street Address, City, State, Zip Code
Member Date of Birth
Member Date of Birth
Please describe any physical or other conditions of which the school should be aware
Areas of Interest
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Top 3 Objectives for Training at Wu Dao
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Previous Martial Arts Experience
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Please indicate your skill level in previous martial arts
Membership Start Date *
Membership Start Date