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Locations
San Antonio
Boerne
Castroville
Shepherd of the Hills
Helotes
Inochi MMA
QBU
Modern Samurai Academy
Store
210-690-5300
Start Your Journey
Trial Program Registration
Student Information
Contact Information
Trial Class Choices
Liability Waiver and Consent
Payment Information
Final Checklists
Student Name
*
Student Name
First
First
Last
Last
Minor
Student is a minor (under the age of 18)
Parent Name (if student is under 18 years old, we require the name and contact information of the parent or legal guardian)
*
Parent Name (if student is under 18 years old, we require the name and contact information of the parent or legal guardian)
First
First
Last
Last
Student Birthdate
*
Approximate Weight
*
[00] 40-60 lbs
[0] 55-80 lbs
[1] 70-100 lbs
[2] 90-120 lbs
[3] 110-150 lbs
[4] 140-180 lbs
[5] 170-210 lbs
[6] 200-240 lbs
[7] 230-270 lbs
over 270 lbs
Please select the approximate weight of the student.
If you are human, leave this field blank.
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