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Contact info Update
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First & Last Name
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Student's First & Last Name: Ex: Your Child's or Children's Name Here just separate with a comma :
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Email
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Phone Number
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Address city, state, zip
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School Affiliation
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Lee's White Leopard, Dallas TX
Lee's Kung Fu & Tai Chi, Shreveport, LA
Wu Yi Shaolin Martial Arts Center, Coppell, TX
Lost Track Kung Fu, Atlanta, GA
West Gate Kung Fu, Boulder, CO
Inner Flow T'ai Chi, Little Rock , AR
Kung Fu of Arkansas, Little Rock, AR
Tiger on the Red, Shreveport, LA
Eternal Arts Kung Fu, Vancouver, WA
Other
Are you currently enrolled at Lee's White Leopard Dallas?
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Are you interested in live Zoom Classes?
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What classes do you participate in? Kung Fu, Kung Fu Kids, Taichi, PaKua?
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What is your current rank and style? Ex: Kung Fu Green Belt
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Need Saturday in school Taichi sign up Link?
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Any other questions or comments? Need more room for you children's names or Belt level it can go here too
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Incase you need more room:
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