Afterschool Registration - CTX Martial Arts

How many children are you registering for the After School program?

Do you need transportation?

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Participant's Full Name: *

Date of Birth: *

Parent/Guardian Name (of minor child participant): *

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Participants' Full Name: *

Add a coma (,) to separate children's names

Date of Birth:

Add a coma (,) to separate children's DOB

Email *

Student Home Address *

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Phone *

Emergency Contact Name: *

Emergency Phone: *

Medical condition or similar we should know about? Please explain in detail if any. *

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Signature: *

Date : *

Agreement of Terms *

By completing this form you are agreeing to the terms of our Liability Waiver and our program's Guidelines, Policies and Responsibilities

Registration *

New Members
(This option includes uniform and t-shirt) - $100.00
Current Members
(Current members must have uniform and school t-shirt) - $50.00

Registration for two students *

Two New Members
(This option includes uniform and t-shirt for both) - $200.00
Two Current Members
(Current members must have uniform and school t-shirt for both) - $100.00

Registration for three students *

Three New Members
(This option includes uniform and t-shirt for three students) - $300.00
Three Current Members
(Current members must have uniform and school t-shirt for three students) - $150.00

After School price options (Transportation Included): *

Short Term
Long Term

Short Term. Minimum Two Weeks at a time:
- Per Student/Week: $125.00
- Siblings/Week: $120

Long Term. Minimum 10 Weeks Paid in Advance (save $$$):
- Per Student/Week: $120
- Siblings/Week: $115

After School price options (Transportation not included): *

Short Term
Long Term

Short Term. Minimum Two Weeks at a time:
- Per Student/Week: $85.00
- Siblings/Week: $80

Long Term. Minimum 10 Weeks Paid in Advance (save $$$):
- Per Student/Week: $80
- Siblings/Week: $75

How many weeks? *

How many weeks? (for two students) *

How many weeks? (for three students) *

How many weeks? *

How many weeks? (for two students) *

How many weeks? (for three students) *

How many weeks? *

How many weeks? (for two students) *

How many weeks? (for three students) *

How many weeks? *

How many weeks? (for two students) *

How many weeks? (for three students) *

Do you already have the full sparring equipment set? *

Sparring Equipment *

Full set price is $265/student. Students are required to wear their martial arts protective gear for each session. You have the option to pay for the equipment in full or in two parts, second part due in 30 days. No refunds on sparring equipment.

Sparring Equipment *

Sparring Equipment (for two students) *

Sparring Equipment (for three students) *

Total

$0.00

Payment Information

Card Holder's Name *

First

Last

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Credit Card Information

Enter Card Information - Ingrese la Información de la Tarjeta *

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Expiration - Month *

Expiration - Year *

Security Code *

2024 AFTER SCHOOL REGISTRATION

Our AfterS chool is filling up FAST!

Empower Your Child at CTX Martial Arts

After School REGISTRATION

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