Black Paw Martial Arts Academy

Spen Lane, Gomersal, West Yorkshire

BD19 4PN

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Becoming a Student

Enrollment Package

£149

Reduced to £99

when Enrolling on Taster Session

Martial Arts Programme Uniform

White Belt

First Year Academy Membership

First Month Tuition

First Grading Assessment

Waterbottle

Drawstring Bag

Enrollment Form

Student's Name *

Date of birth *

Email Address *

Address *

Main Phone Number *

Postal code *

Additional Phone Number

Any Relevant Medical History *

How Did You Hear About Us/ Referred By *

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Statement for Use of Photos/Film Footage I understand that Black Paw Martial Arts Academy may use photos and film footage of students for the purpose of positively promoting the academy. This may include use on internally produced literature, displays, the website, and social media channels. I reserve the right to instruct Black Paw Martial Arts Academy to stop using any photos or film footage of me/my child in any new materials at any time. If I wish to opt out, I will notify the academy in writing, and Black Paw Martial Arts Academy will ensure that no further images or footage of me/my child are used in new promotional materials. *

I Agree

I Do Not Agree

Signature of Student (or Parent if Student under 18) *

Signature

Date of Completion *

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Style Selection *

Little Bears

Goju Karate

Freestyle Martial Arts

Japanese Jiu Jitsu

Tai Chi

Number of Classes per Week *

1 Class per Week

Up to 2 Classes Per Week

Up to 3 Classes Per Week

Up to 4 Classes Per Week

5+ Classes Per Week

Height of Student *

Height of Student

100cm
110cm
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140cm
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Enrolment Fee *

School Enrollment Pack

£149

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Classes

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