US Martial Arts Academy Registration Page

USMAA Home Page

Online Registration

Please select the Program in which you are interested
	Martial Arts
	Cardio Kickboxing
	Brazilian Jiu-Jitsu

Contact Name

Student Name

Age

Home Phone Number

Cell Phone Number

E-mail Address

In order to determine if the instruction at the U.S. Martial Arts Academy can adequately meet and serve your needs, please complete the following:

Check the benefits you would like to receive from martial arts training at the U.S. Martial Arts Academy.
Please also select the single most important benefit for you

Please Select	Most Important
		Physical
		Focus
		Self Confidence
		Weight Control
		Self Discipline
		Athletic Skill
		Temper Control
		Self Defense
		Respect for Self and Others
		Other

Additional information, questions or comments

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U.S. Martial Arts Academy

Amelia Branch:
212 W. Main St.
Amelia, OH 45102

Office: (513) 752-5425
Fax: (513) 752-4634