To book a place on our Summer Camp 2019 please complete this registration form.
*
indicates required
Name:
Email:
Comment:
First Name *
*
Last Name *
*
Gender *
*
Male
Female
Which age group do you belong to? *
*
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65+
Email Address *
*
Please ensure email is entered correctly to be able to receive confirmation email, if you don't receive confirmation email please email lila@kungfu.life.
Phone Number *
*
Please include your international dialling code
Select your T-Shirt Size
XS
S
M
L
XL
Which country will you be coming from? *
*
How did you find out about this summer retreat?
Do you have any previous martial arts experience?
Please let us know the style and length of training
Do you have any special dietary requirements?*
*
NO
YES - Please provide details in the ADDITIONAL INFO section
How spicy can you eat *
Non at all
A little
Medium
Very Hot
We love spicy food let us know how much spice you can take so that we can cater to your taste
Additional Info
Please let us know if you have any extra comments including any SPECIAL DIETARY requirements & MEDICAL CONDITIONS/ INJURIES we should know about
Confirm you have read & agree to the T & C's *
*
yes
No
You can find the Terms and Conditions on the summer camp page
