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

4 Part Application is required:


Enrollment 4 Part Applcation

Complete and bring to workout, email to office@manna.us, or fax to (858) 673-4137

INTERNET SPECIAL KICKBOXING REGISTRATION
The Workout That Packs A Punch

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

After registration you will have four options:
Option 1) Frist month $79 then $39.95 PayPal Subcription payment monthly
(includes gloves & wraps)
Option 2) Pay on Location $59 Month to Month
Option 3) Pay on Location $59 Month first month and EFT $39.95 Month to Month
Option 4) Pay on Location for In Person Workout $15 per workout

In Person - One Hour Workout Times: Tuesday/Thursday 7PM and Saturday 9AM
Gloves and Wraps available for purchase on location.
You may go directly to PAYMENT PAGE if already registered or previous participant.

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:    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 or Online from my home. Gloves, wraps and large towel are required. I understand that this is a strenuous workout and will provide myself with a proper area to workout in if done at home. If participant is under 18 years of age, a legal age guardian must be in attendance to complete additional registration forms to participate In Person on location. On location participants will be required to complete these required forms: 4 Part Application, if not already onfile at location, see left.

When registration is submited your information will be sent and you will be forwarded to the payment page.

Select one: Participant Guardian (if participant is under 18 years of age)
Date (format mm/dd/yyyy):

     

Please fill in ALL required fields indicated with an asterisk (), above date format mm/dd/yyyy.