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Adult Intake Form

To better serve you in our martial arts program, please fill out the short questionnaire below.


  • Make Required

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  • Make Required

    Map this to an SPARK field:

    Selection Box Items (seperated by commas)

  • Make Required

    Map this to an SPARK field:

    Checkbox Items (seperated by commas)
  • Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
    I Am in Great Health
    I am Physically Flexible
    I Live a Stress Free Life
    I Am Confident In My Ability To Protect Myself/Family
    I Am Energetic
    I Am Physically Fit

  • Make Required
  • I agree

    In consideration for my attendance and participation in the martial arts training offered by SCS Martial Arts . I acknowledge the existence of certain inherent risks in this type of training and hereby agree to assume all risks. I further relieve the school, it's management, assigned staff and fellow students from any liability resulting from loss, whether personal belongings or bodily injury. I also hereby state, that I am physically fit to take the prescribed course of instruction and do so of my own free will in exchange for an agreed upon fee. I understand there is a no refund policy on any monies I will pay SCS Martial Arts



 


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