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Trial Class Scheduling Information -
Yair Shemesh
Trial Class ID: 1909 - completed
Update Request
Schedule
Complete
Enrolled
Archive
Hold
Add Student+
Primary Contact
Family (last name)
*
First Name
*
Last Name
*
Contact Type
Mother
Mother
Father
Grandparent
Self
Other
How did Applicant hear about us?
Internet Search
Friend Referral
Internet Search
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Tiny Tiger INTEREST
Walk-In
Referral Name
Primary Phone
*
Email
Trial Class Request for:
My child
My Child
Me
Other family member
Desired Date
Request Status: - completed
Email Sent?
Student and Class Schedule Information
Assigned Class:
Sunday - 12:00 pm - 12:45 pm (Pee Wee Judo 6-7yrs)
First Name
*
Last Name
*
Gender
Male
Male
Female
Class Group
Children
Adult (16 yrs and Up yrs)
Teen (13 yrs to 16 yrs)
Youth (9 to 12 yrs)
Children (7 to 9 yrs)
Peewee (6 to 7 yrs)
Tiny Tiger (3 1/2 to 5 yrs)
Height
Age
Date of Birth
*
Select Trial Class
Children*
Saturday - Saturday Private Lessons
Sunday - 12:00 pm - 12:45 pm (Pee Wee Judo 6-7yrs)
Sunday - 1:00 pm - 1:50 pm (Child/Youth Judo 8-12yrs)
Sunday - 2:00 pm - 3:15 pm (Teen/Adult Judo)
Thursday - 4:25 pm - 5:05 pm (Mon/Thur Tiny Tigers 4-5yrs)
Monday - 4:25 pm - 5:05 pm (Mon/Thur Tiny Tigers 4-5yrs)
Tuesday - 5:10 pm - 6:00 pm (Childrens Judo 7-9yrs)
Thursday - 5:10 pm - 6:00 pm (Childrens Judo 7-9yrs)
Monday - 5:10 pm - 6:00 pm (Childrens Judo 6-8yrs)
Wednesday - 5:30pm - 6:10pm (Wed/Fri Tiny Tigers 4-5yrs)
Friday - 5:30pm - 6:10pm (Wed/Fri Tiny Tigers 4-5yrs)
Monday - 6:10 pm - 7:00 pm (Youth Judo 9-12yrs)
Tuesday - 6:15 pm - 7:15 pm (Youth Judo 9-12yrs)
Thursday - 6:15 pm - 7:15 pm (Youth Judo 9-12yrs)
Wednesday - 6:30 pm - 7:15 pm (Pee Wee Judo 6-7 yrs)
Monday - 7:15 pm - 8:15 pm (Teen/Adult Judo Exercises)
Wednesday - 7:30 pm - 8:30 pm (Teen/Adult Judo Newaza)
Wednesday - 7:30pm to 8:30pm Yoga- Beginner Flow -Wednesday
Tuesday - 7:30 pm - 8:45 pm (Teen/Adult Judo)
Thursday - 7:30 pm - 8:45 pm (Teen/Adult Judo)
Friday - 7:30 pm - 9:00 pm (Open Mat Workout)
Weight
Will need Uniform
Yes
Yes
No
Schedule Date
Class ID
Customized Email Introductory Note
Thank you for stopping by yesterday with your son/daughter and thank you for your Interest in Kokushikai Judo Academy!
Customized Email Body Note
We are located at 24-28 Fair Lawn Ave. between Plaza Road and Abbott Road. We are next to a CVS, closer to the Abbott Road side. There is parking both in front and behind our building but our reception area is at the backside entrance.
Address
Home Address
Address 2
City
*
Zipcode
*
State
Notes
Update Request