VIP Week Pass

Congratulations your friend has referred you to try our amazing Confidence-building Martial Arts classes.

This pass entitles you to 1 week of VIP classes from the date of joining. Valid for 7 days.

Non-transferable.

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? *

YOUTH MARTIAL ARTS (8-12YR)

LITTLE DRAGONS (5-7YRS)

SELF DEFENCE MARTIAL ARTS (13YRS+)

DRAGON KICKBOXING

Which location(s) do you want to enrol at? *

CHRISTCHURCH

WOODEND COMMUNITY CENTRE

VIP 1 REFERRAL PASS

$0.00 FOR 6 PASSES

Please read and sign the following agreements

Shizoku Martial Arts Terms & Waiver

VIP Week Pass

Personal Information

Emergency Contact Information

Which class(es) are you joining? *

Which location(s) do you want to enrol at? *

VIP 1 REFERRAL PASS

VIP 1 REFERRAL PASS

Please read and sign the following agreements

Success!

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VIP Week Pass

Personal Information

Emergency Contact Information

Which class(es) are you joining? *

Which location(s) do you want to enrol at? *

VIP 1 REFERRAL PASS

VIP 1 REFERRAL PASS

Please read and sign the following agreements

Which contact methods do you consent to?

Success!

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