Max Martial Arts FSA Enrollment Form

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Max Martial Arts FSA Enrollment Form

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Student's Name *

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Gender

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Female

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Day Options *

Monday

Thursday

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Date of Birth

MM

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Grade

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Pre-K

K

1

2

3

4

5

6

7

8

8

9

Student Height (for uniforms) *

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2'

2'1

'2'2

'2'3

2'4

2'5

2'6

2'7

2'8

2'9

2'10

2'11

3'

'3'1

3'2

3'3

3'4

3'5

3'6

3'6

3'8

3'9

3'10

3'11

4''

4'1

4'2

4'3

4'4

4'5

4'6

4'7

4'8

4'9

4'11

5'

5'1

5'2

5'3

5'4

5'5

5'6

5'7

5'8

5'9

5''10

5'11

6'

6'1

6'2

6'3

6'4

6'5

Does your child have any special needs or conditions (allergies, seizures, asthma, etc) ?

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