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Instructor Profiles
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� Sensei Marty Willenberg

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Bushido Martial Arts - Kaizen Dojo:
Help us determine what program is best for you. Please complete the following form. A BMA representative will contact you soon.
* Your Name:  
* Email:  
* Phone Number:  
Are these classes for you or your child?    Age:  
Have you (they) studied martial arts before?  
If YES
What style was it?  
What did you like best about that style?
Why did you stop training?
If NO
How long have you been thinking about studying the martial arts?  
What motivated you to take action today?
What martial art interests you the most?  
What is it that you would like the martial arts to help you with?
How long has this been an issue?  
How has this issue affected your life (child)?
If you do not do something about the issue now, how will it affect your future?
How did you hear about us?  
Are you willing to dedicate at least 2 days per week for training?  

Would you like to take advantage of our trial program?  

When would you like to start?  
Note: Trial programs fill quickly. To reserve your class today, call (586) 727-3381
or contact us online
Additional Comments:
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