LGBT Interest Survey

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Note:

Please understand that these classes are for the LGBT community only and not intended for straight people, even if you are sympathetic to the cause. This restriction is meant to protect any who are not out, or uncomfortable with the possibility of ramifications in the straight world. Please feel free to pursue membership in a non invitational offering from our website as they are many...Thank you for your understanding and compassion.

LGBT Martial Arts Class Interest Survey

* Indicates required field

Name *

First

Last

Email *

Select one gender *

Select one age group *

Choose one *

I am a member of the LGBT society and would like the EMAS site password I am Straight but interested in martial arts

Choose one which applies best *

I am male and interested in all male classes I am female and interested in all female class I am interested in mixed sex classes

Choose any that apply *

I alone am interested in classes I and some of my friends are interested in classes I am in good physical condition I am in moderate physical condition I am in poor physical condition

Select one which best applies to your interest in classes *

How did you hear about us? *

What are some of the reasons you are interested in Martial Arts Classes? *

Fitness, security, camaraderie, etc... or explain an answer if necessary.

Contact Phone Number *

(xxx) xxx-xxxx or "none" if no phone.

Best time for telephone contact? *

Submit

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