Thank you for joining Phillips Martial Arts and Yoga Center. Please complete the Pre-K Registration Form below.
All information is kept strictly confidential. Only fully completed forms with payment will be accepted. An email confirming your enrollment will be sent to you shortly.
Pre-K * Little FriendsBright BeginingsCountry PreschoolLil FoxLily PadOur PlayhouseSmart StartHouse Of ChildrenMonalees
Please choose your fitness program: * Pre-K Enrichment (Yoga) $35/mthPre-K Enrichment (Kung Fu) $35/mthPre-K Enrichment (Yoga + Kung Fu) $65/mth
NOTE: If prefer you to pay for tuition by direct pay then please contact us directly via email by clicking on the button below.
Otherwise, please continue on by imputing your credit card information below.
Credit Card Information
Card Number *
Full Name On Card *
Card Expiration Date (mth/yr) *
Billing Address, City, State, Zipcode *
Security Code (on back of card) *
Payments automatically withdrawn on the first of every month by credit / debit card. INITIATION FEE WAIVED WITH AUTO PAY. If pro-ration applicable, pro-ration will appear on the next billing cycle. $20 No payment fee applied to account if Auto Pay payment does not process or is declined.
I give Phillips Martial Arts and Yoga Center (Robert Phillips, Phillips School of Kung Fu San Soo) permission to debit / charge the account provided within seven days from this online registration, and agree that the charge will reoccur on the first day of every month, and continue every month.
I want to enroll in automatic billing. *
Monthly Billing Amount: YOGA-$35 monthKUNG FU-$35 monthBOTH KUNG FU & YOGA-$65 month
I agree that in order to stop the monthly charges applied to my account, that I will fill out a stop payment form provided by Phillips Martial Arts and Yoga Center, (obtained at studio location) 10 days prior to the end of the month.
Privacy and Consent: *
I have read the Client Privacy & Consent form before submitting this form. Submitting this client registration form indicates that I have read and agree to the terms and conditions of privacy and other conditions set forth.
3 + 1 = ? Please prove that you are human by solving the equation *