4-Week Trial Program

About Our Trial Program

Interested in seeing if Lititz Martial Arts is right for you? Come check out our 4 week program that invests in you! You will gain premier access to our Tang Soo Do family! Note: Your payment of $49 for the trial program is expected to be paid in either cash or check on your first night of class following your completed registration.

Get Started

Student Information

Student Name(Required)

First Middle Initial Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Contact Phone(Required)

Age(Required)

Date of Birth(Required)

Occupation

Emergency Contact Information

Name(Required)

First Last

Phone Number(Required)

Email(Required)

Is the student a minor?(Required)

Parent's Information

Parent's Name

First Middle Initial Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Emergency Phone

Do you (student) have previous martial arts experience?(Required)

Yes

No

Please list rank and style.

Previous Studio Name

Previous Studio Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Previous Instructor Name

First Last

Previous Instructor Rank

Health Conditions(Required)

Please list any medical issues which might affect your training.

Consent Form

The undersigned hereby enrolls the individual selected below for martial arts and self-defense instruction.(Required)

I have read the above questions and answers. The answers are both true and complete. I hereby swear that I will faithfully fulfill my duty.(Required)

Yes

E-Signature

First Last

Student signature (or parent signature if student is a minor).

Today's Date

Email

This field is for validation purposes and should be left unchanged.