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CAPRI ELEMENTARY REGISTRATION FORM 2010 4

Kung Fu at Capri Elementary School.  This practice will teach students both Kung Fu techniques and Kung Fu theory to build body strength.  It not only helps students capture the essence of Kung Fu, but enhances the students’ self confidence, improves their social behavior, develops good habits and educates them to be respectful with teachers and others.

·Open to K-5th Grade – Registration deadline is 4/9/2010. 

·Time:  Mondays 2:10 -3:00 p.m. (4/19 thru 6/7 in Kinder Pod skip 5/31)

·$15.00 per class and total is $105 for 7-week class.

Registration and Pay online at www.TaiChiKungFu.org/Capri  or made check payable to Li’s Wu Shu Academy and drop off check with registration form to front office at Capri. 

Questions? Please Contact: (408) 653-9480 – sheri.a.wysocki@intel.com
This program is not affiliated with the CUSD.

  ONLINE REGISTRATION
Child’s name: *
Sex: Male Female
Birthday: *(eg: 09 26 1999)
Grade: *
Teacher: *
Parent: *
Phone( H): *
Phone(W/C): *
Email: *
Address (Street): *
Apt#:
City: *
State: *
Zip: *
  CLASS SIZE IS LIMITED TO THE FIRST 20 STUDENTS ENROLLED IN EACH CLASS *
My child will attend after-school day care at the school.
My child will be getting home by his/her own means.
My child will be picked up after class by the following person:
Health Concerns:
  LIABILITY WAIVER FORM
Parent’s Name: *
  I agree with all the turns.
 


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