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SPECIAL DRAGONS
Fill out for Free Trial and Registration
Free Trial consists of two free classes, and if you refer someone and they register and pay for a class, you will get an additional free class for every verified referal.
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Athlete's Name
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First
Last
Athlete's Date of Birth xx/xx/xxxx
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Athlete's Address
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Line 1
Line 2
City
State
Zip Code
Country
Parent / Guardian Name
*
First
Last
Parent/Guardian Phone Number
*
Parent / Guardian Email
*
Emergency Contact
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First
Last
Emergency Contact Number
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Athlete's Diagnosis
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Name of Foundation and Case Manager; If any
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Case Manager Phone Number; If any
*
Location of Interest
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Jersey City
Union
Bellville
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Home
Free Trial & Registration
Schedule & Location Details
Donations & Online Payments
Trainer Certification
Blog
Waiver Page