Register for a Free Intro Class


(By filling out this form you are signing up for the next available class time)

Basic Info

First & Last Name

Email

Preferred Phone #:

Address

Street
City    State Zip

Additional Info

The following is a list of some of the benefits of our classes.
Please check those items that you feel are important for you right now.

Stress Reduction Positive Spirit Flexibility Fitness Combat Skills Overcoming Ailments Weight Control Self Defense Spiritual Development 

Please check which class you would like to attend:
 Monday, 6:00pm Thursday, 6:00 pm None of these times are good for me
(We try to be flexible, if you need to schedule at a different time, please call 704-684-9753.)

How did you hear about The Phoenix and Dragon?
 Matthew Mint Hill Weekly Union County Weekly Online Search Engine Other
(if you selected other):

Additional thoughts (optional):