Stafford Wing Tyun Kung-Fu Club - Tuition in Stafford & Stoke-on-Trent

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Adult Enrolment for the Stafford Kung-Fu Class

MEMBERSHIP

Adult enrolment for the Stafford Wing Tyun Kung-Fu Club

If you have taken your trial lessons and wish to join the Stafford Wing Tyun Kung-Fu Club, please complete the form below. We will enter your details into our records and ask you to sign the completed application form when you attend your next training session.

Please also provide a Cheque made payable to 'Martial Arts Instruction' for £30 for your WTKO Membership and Insurance. This Insurance is mandatory and must be renewed anually.

Full Name*:

Address*:

Post Code*:

Telephone*:

Mobile:

Email*:

Date of Birth*:

Membership Level*:

Main Class Location*:

Any illness or medical conditions that may affect your safety in class*:

Previous Martial Arts Training - if any:

Next of Kin*:

Address for above*:

Post Code*:

Tel No: for above*:

Enter the letters shown below in upper case*:

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