MARTIAL ARTS AUSTRALIA - Training for the Mind-Body-and-Spirit
FREE INTRO LESSON 
 
Martial Arts Australia
(National Headquarters) 
PO Box 9271 
BATHURST NSW 2795
 
Tel: (02) 6376 7081
Fax: (02) 6305 6768 
 
 
 
Please complete this form to register for a FREE intro lesson, FREE uniform
and FREE grading assessment (valued at $100). If you require further information or wish to leave more details, please use the field at the end of the form: 
 
Full Name
Mailing Address (PO Box or Street Address)
City
State
Postcode
Contact Telephone Number
Contact E-mail
Have you trained in martial arts or combat sports before? If yes please state here
Which martial arts or combat systems do you want to learn? Please choose 1 to 3
Traditional Japanese Jujutsu (Hand-to-Hand Combat)
Mini Samurai (ages 3 to 5 years)
Little Samurai (ages 6 to 8)
Young Samurai (ages 9 to 11)
Mugendo Jujutsu (MMA & Grappling Program)
Executive Self Defence Program
Shinken Toho (Traditional Japanese Swordsmanship)
What type of training, instruction and/or tuition are you seeking?
Regular training - group classes
Private training - personal tuition
Both: regular/group and private/personal training
What areas of martial arts training and study are you interested in?
Self defence and personal protection
Fitness, strength and orverall health
Confidence and self esteem
Reduce stress and tension
Competition (tournaments)
Coordinate Mind-Body-and-Spirit
Hoplology- Combative History & Tradition
Philisophical and cultural study
Spiritual and mental discipline
Overcome and prevent bullying for my child
Do you wish to receive our monthly martial arts newsletter?
YES - please send me the monthly newsletter
NO - I do not wish to receive the newsletter
Please ask any questions or state any further details here