Wing Chun Kuen - 2 Week Trial $45

*** Includes Traditional Uniform To Keep *RRP $69***

Please select either Kids (Dragons) Class 5 - 7, Kids (Tigers) Class 8 - 14 or Adults Class for your Trial

Please read through and fill out all the information required below to complete the signup and purchase.

Thoroughly read through the membership agreement attached and sign once it has been understood.

If you have any questions please feel free to reach out me at [email protected].

Personal Information

FIRST NAME *

LAST NAME *

UPLOAD PROFILE PHOTO

ADDRESS LINE 1

ADDRESS LINE 2

TOWN/CITY

POSTCODE

EMAIL ADDRESS (PRIMARY) *

EMAIL ADDRESS (SECONDARY)

GENDER

PHONE NUMBER

MOBILE NUMBER

DATE OF BIRTH

Emergency Contact Information

NAME

RELATIONSHIP

PHONE

MEDICAL / ALLERGY NOTES

Which class(es) are you joining? *

WING CHUN - ADULTS

WING CHUN - TIGERS

WING CHUN - DRAGONS

You're enrolling at:

YARRABILBA

Enter payment details for this plan

2 Week Trial

$45.00 FOR 6 PASSES

Please read and sign the following agreements

Membership Application Agreement

Wing Chun Kuen - 2 Week Trial $45

Personal Information

Emergency Contact Information

Which class(es) are you joining? *

You're enrolling at:

Enter payment details for this plan

2 Week Trial

Please read and sign the following agreements

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Wing Chun Kuen - 2 Week Trial $45

Personal Information

Emergency Contact Information

Which class(es) are you joining? *

You're enrolling at:

Enter payment details for this plan

2 Week Trial

Please read and sign the following agreements

Which contact methods do you consent to?

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