Contact Information

Name of Student

 

Email Address    

 

Phone Number   

 

 

Referral

I found Eastern Ways through
Choose One Yahoo! Google Yellowpages.com Other source (please indicate in comments)

 

 

Style
I would like a Free Lesson In

Kung Fu Tai Chi Children's Classes

 

Locations

I am interest in training at
Fair oaks Folsom Elk Grove

 

Goals

I am looking for
Traditional Martial Arts Health & Fitness
Self-Defense Relaxation Discipline/Structure
Fun/Enjoyment

 

Additional Information
If you have medical concerns, previous training, a preferred time for lessons, for return phone calls, or have other comments please use the provided space. (For Parents, please put your name here and age of children)