Your First Name *

Your Last Name *

Child's First Name *

Child's Last Name *

Date of birth *

Email *

Phone *

Which class would your student like to join during Community Night? *

Where did you hear about Community Night? *

I opt-out of receiving a monthly events newsletter via email, like Parent's Night Out and Community Events in the area.

Photo Consent- Do you give permission for you, your student and siblings to be in photos for promotional purposes? *

Yes

Waiver *

I realize that any activity involving martial arts may contain risks. I agree to hold harmless Inspired Kids Programs, Olivia Mitchell, and all Inspired Kids Programs staff members in all matters concerning all accidents and injuries that occur during my child's participation in the Crouching Tigers Program.