Your First Name *
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Name of Persons Trying the Classes (If Not You)
Age of Person Trying the Classes*
Address *
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Mast Convenient Area *
Most Convenient Area
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Cave Creek Campus(SW Corner of Cave Creek & Tatum)
Chandler West Campus (SW Corner of Chandler Blvd. & Kyrene)
Litchfield Park Campus (SW Corner of Litchfield Park & McDowell)
Mesa Campus (NE Corner Gilbert & Southern)
Peoria Campus (SW Corner of 68 th Ave & Bell)
Tucson Campus
No preference
Select # 1 Area of Interest *
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Karate for Kids Ages 3 to 6
Karate for Kids Ages 7 to 12
Self Confidence
Self Discipline
Self Defense
Fitness
Cardio workout?
Weapons
Forms
Transfer from another style
Weight Control
Unsure