Trial Class Booking – KMA ST MARYS

Thank you for choosing to book a free trial class.
Please fill out Student details below and preferred class.

This registration covers the student named for the trial period only, there is no obligation to join but if you do, our offer to you includes free uniform and free registration.

Student Details

First Name *

Last Name *

Date of Birth *

Age

Under Age

Sorry, Based on the {name-1}’s age, he/she doesn’t quite yet meet our age requirement.
As {name-1} is turning 4 soon, please contact us on 0478 155 925 for options, or send us a message using the Contact Us button below.

Class Days

Little Dragons 4-6 yr old – Monday – Thursday: 4:30pm – 5:00pm
Champion kids 7-12 yr old – Monday – Thursday: 5:10pm – 5:55pm
Adults 13+ – Tuesday and Thursday: 6:00pm – 7:00pm

Contact Us

Street Address

Suburb

Post Code

Phone *

Email Address *

Parent/Guardian details (if under 18)

Parent/Guardian Full Name

Phone

Relationship

Little Dragons

Based on {name-1}’s age, he/she will be in our Little Dragons Class.
Classes run Monday to Thursday 4:30pm to 5:00pm.

If your child is turning 7 soon, please call 0478 155 925 for options.

Champion Kids

Based on {name-1}’s age, he/she will be in our Champion Kids Class.
Classes run Monday to Thursday 5:10pm to 5:55pm.

If your child is turning 13 soon, please call 0478 155 925 for options.

Teens and Adults

Based on {name-1}’s age, he/she will be in our Teens and Adults Class.
Classes run Tuesday and Thursday only 6:00pm to 700pm.

Select Trial Class Date *

Please choose your preferred training days: *MondayTuesdayWednesdayThursday

Please choose your preferred training days: *TuesdayThursday

IS THERE ANY MEDICAL CONDITION WE SHOULD BE AWARE OF? *NoYes

Please Specify:

Note: If any items are ticked a medical certificate is required clearing you to participate in Martial Arts.

Acknowledgement

Signature *

Date *