Personal Information
What are your learning objectives?
How did you find our studio?
Refer a Friend
Signature

I realize that Mu Do Martial Arts involves the potential for injury which is inherent to any martial arts activities. I agree to release Mu Do Martial Arts, its principles, and instructors from such claims or responsibilities for injuries that I might receive from these activities. I have completely answered the questions above and understand that the fee paid is for the Evaluation Program and is not refundable.