Vision Martial Arts

⚠️ WAIT! ONE LAST STEP... ⚠️

Kids Martial Arts Application

Fill out the form below before your orientation

First Name

Last Name

Address

City

State

Postal code

Email

Date of birth

Mom's First Name

Mom's Last Name

Dad's First Name

Dad's Last Name

What would you like your child to accomplish in our program?

Medical Concerns

Type of student

Honor Roll

Average

Needs a little help

Please check the benefits most important to you.

Self-Confidence

Self Esteem

Respect

Improved Behavior

Physical Fitness

Weight Control

Strength & Flexibility Coordination

Focus

Self-Discipline

Concentration

Self-Control

Burn Energy

Leadership

Self-Motivation

Balance

Stress Management

Goal Setting

Fun!