Thank you for choosing to participate in our kickboxing program her at Manna's.

Each participant to the Kickboxing must have a current Release and Consent To Treat form on file at Manna's.
Both forms are required:
   
Release         Consent

Print, complete: bring to event, email to office@manna.us, or fax to Manna's
at (858) 673-4137

INTERNET SPECIAL KICKBOXING REGISTRATION
The Workout That Packs A Punch (Kickboxing Flyer)

Manna's Martial Arts, 12285B World Trade Drive, San Diego CA 92128
Voice: 858-487-6470

Extended Holiday Special Save $30 NOW, register now.
After registration you will have two options:
Option 1) FIRST MONTH, GLOVES ,WRIST WRAPS AND REGISTRATION FOR $79 Special
Option 2) FIRST MONTH AND REGISTRATION FOR $59 (I already have gloves & wraps)
One Hour Workout Times: Tuesday/Thursday 7:45 PM and Saturday 9 AM

Please fill out this registration form, below. When you click on the “submit kickboxing registration” button, you will be be forwarded to the payment page.

Participant Information:

First Name:*  Last Name:*

Date of Birth:*   Referred By:*

Contact Information:

Telephone (incl. area code):*    E-Mail Address:*

Parent/Guardian Information (Required if applicant is under 18 years of age):

First Name: Last Name:

Contact Phone or Email:

Submit Kickboxing Registration:

I submit this registration for the Kickboxing at Manna’s Martial Arts. If participant is under 18 years of age, a legal age guardian must be in attendance to complete additional registration forms to participate. You may elect to print and provide these required forms: Release and Consent, if not already onfile, see left. This Internet Special allows the participant to a $30 savings on the first month.

Participant Guardian (if participant is under 18 years of age)   Date:*

     

Please fill in ALL required fields indicated with an asterisk (*).