Smokey Point-Signup

SMOKEY POINT-sign up Registration
referral discount

Fill out the info below to schedule your first class to come in, try on your unifrom and join!
(FILL OUT ONE FORM PER FAMILY MEMBER)

* Indicates required field

Referral Name *

First

Last

The person who referred you to try? (if not complete referral is void)

How Did They Refer You? *

Student Claim Name *

First

Last

Gender *

M F

Birthdate (MM/DD/YYYY) *

Phone Number *

Email *

CLASS CHOICE *

Adult (18yrs-Up) Family (7yrs-Up) Teen (13-17yrs) Child (7-12yrs) Little Tiger (4-6yrs)

CLASS DAYS (Regular Schedule: 2x Per Wk) *

Monday Tuesday Wednesday Thursday

WHEN WOULD YOU LIKE TO START? *

Comment *