PLEASE CHECK EACH  BLOCK TO INDICATE THAT YOU HAVE READ THE RULES AND WILL FOLLOW..

Please check which type of session you are interested in:

I am interested in a Martial Arts training session.

I am interested in a Self Defense training session.

I am interested in Private Lessons session.

Please answer the following questions:

1) Check your most important goals:

Firm

Reduce

Build

Flexibility

Endurance

Strengthen

2) Check any previous excercise experience:

Self Defense

Martial Arts

:Other

3) Reason for seeking a Martial Arts trainer:

Motivation

Accountability

All visitors must stay in the front area.  No wandering around will be allowed.

All suggestions and comments are welcome but final decisions will be by Master Page/Master Harrison.  

Liability Release and Waiver 

My signature on this form release Steven Page, Benny Harrison and anyone associated with Seven Page Benny Harrison HAP KI DO System & The Dragon and Tiger HAPKIDO Academy from any liability, claim, expense, and or injury arising from or connected with my participation in this class or place on instruction.

PARENT SIGNS HERE :    DATE : 

STUDENT SIGNS HERE :     DATE :

ADDITIONAL PERSON :      DATE :

The Harrison Hapkido Mission System, The H.Hapkido System, Steven Page Hapkido System and Institute of Urban HAPKIDO Systems  Logo and studio pictures belong to The Harrison Hapkido Mission System, The H.Hapkido System, Steven Page Hapkido System and Institute of Urban HAPKIDO Systems all logos and trademarks belong to their respective owners. The Harrison Hapkido Mission System, The H.Hapkido System  Steven Page Hapkido System and Institute of Urban HAPKIDO Systems site is designed and run by Chief Master  Benny Harrison, 1975 The Harrison Hapkido Mission System, The H.Hapkido System, Steven Page HAPKIDO System and Institute of Urban HAPKIDO Systems.  No reproduction  or publication without prior written permission. Los Angeles City Business permit and State ESIN # & CPR and First Aid Certification is Available upon request. (™)

 Reach One, Teach One in our Children and Youth through Martial Arts.