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Private Sessions

Private Sessions Inquiry Form

(Tech note:   please do not use "quotation marks" in your answers.)

Personal Contact Information

Name:
Home Telephone:
Alternate Telephone:
Email:


Do you have any martial arts experience? If so, in which style(s) have you trained and for how long?

What kind of material are you interested in learning? I.E. stand-up sparring, grappling, situational self-defense, etc.

Are your interests in learning martial arts personal or professionally-based? For example, are you wishing to supplement your physical training in policing, corrections, or security?

Which days and times would fit your schedule?

Where are you interested in training?

Home Office Dojo Other

As per the above question, in what city or town is your home, office or other location? (if applicable)

Have you any special health concerns that may affect your ability to practice martial arts?

 

The practice of martial arts is a contact oriented, physically strenuous activity. Although serious injuries are rare, one must be aware there does exist a risk nevertheless. No member(s) of Shintokukai Karate & Kobudo can be held responsible for any injuries you may experience. Do you accept this risk?

Yes No Unsure