Adult Registration Form - Spokane Kendo Club

First Name *

Last Name *

Birth Date

Age

Street Address

Apt #, etc.

PO Box (if applicable)

City

State

Zip code

Your Cellphone

Your Home Phone

Your Email

Your Occupation

Your Work Phone

Spouse's First Name

Spouse's Last Name

Spouse's Email

Spouse's Cellphone

Spouse's Occupation

Children's Names and Ages

How did you hear about Spokane Kendo Club?

Previous experience in Martial Arts?

Hobbies and Interests

Do you have any health issues or joint problems (ankles, knees, lower back, neck, etc.)?

We recommend that you attend at least twice each week on average. Which times look best to you at this time?

Training Times:

Mon 6-7 pm

Wed 6-7 pm

Sat 11:45 am - 12:45 pm

Terms of Service & Privacy Policy *

I have viewed and agree to these two documents.