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eoeskrima@gmail.com
EO Eskrima
Siniwallis-Dequerdas
Registration & Waiver
First name
Last name
Address
Phone
Email
Date of Birth
Do you require a doctor’s permit to participate in intense physical activities?
No
Yes
Do you have any physical injuries/limitations we should know about?
Please tell us about your Martial Arts training history
Electronic Signature
I declare that the info I’ve provided is accurate & complete
I have read and agree to the terms listed in the "Liability Waiver / Likeness Righs / Tuition Agreement" form fond HERE:
LIABILITY WAIVER
Enroll
Clicking "Enroll" will advance to the recurring tuition subscription section to complete your membership. Tuition is $80/mo through PayPal.
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