Hand to Hand Kajukenbo Self Defense Center

New Beginners Class Registration

April 6 - May 13, 2010

Please fill out the form below to register for the new beginners class.

Please enter your full name:
Please enter your email address:
Please enter your mailing address:
Evening phone number with area code.
How will you be paying?	I will mail a check ($75-100) to Hand To Hand. I will pay in full ($75-100) at the first class.
How did you hear about Hand To Hand?	(Select all that apply; use CTRL-click to select)
Please enter any additional information in the box to the right. Include a description of any prior training you may have in martial arts. You may also request further information or ask any questions you might have about beginning your training at Hand To Hand.