Intake form

Name *

Email address *

What is your age group?

What is your experience level in martial arts?

Which martial arts are you interested in?

Please select at least one option.

Judo

Jujitsu

Both

What are your training goals?

Please select at least one option.

Improve techniques

Compete in tournaments

Increase fitness

Self-defense

Increase discipline

How did you hear about CKC martial arts?

What days are you available for training?

Please select at least one option.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Do you have any medical conditions or injuries we should be aware of?

Which service or services are you interested in?

Please select at least one option.

Judo competitions

Jujitsu grappling

Youth martial arts

Additional questions or comments

CKC Martial Arts Judo and Jujitsu