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This preregistration form is to be filled out and submitted before first class, by those who wish to participate in our programs (introductory trial lessons or otherwise). This is preliminary paperwork to get you started, and separate student member paperwork will need to filled out at the studio to be an official member of the school.

We will never disclose your email address. Your address will be used for communication purposes only, between you and staff of Seattle Wushu Center.


The form fields with an asterisk * are required fields.


On your first lesson, please arrive 10 to 15 minutes before your class time, to fill out a participation form.

We look forward to meeting you!


Seattle Wushu Center is located at:


5423 California Ave. SW Seattle, WA 98136


(206) 229-4774 Studio

Name*

Parent name (if applicable)

Address, State, Zip*

Home phone*

Cell Phone, if applicable

Email Address*

Introductory Lessons: What art(s) are you pre-registering for?*

COUPON CODE, if applicable

What benefits are you looking to gain in your chosen class(es)? (Check all that apply)*

How were you referred to our school?

Check all statements that apply:

What skill level would you like to eventually attain?

(optional) Briefly explain why you would like to study the art you chose:

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