Interests

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About Mission Kida

Interest in Free Self Defense Training

Mission Kida provides free martial arts training for Jewish teens and young adults. This form helps us understand interest and availability. Submitting this form does not guarantee placement and does not commit you to participation.

1. Are you interested in free martial arts training through Mission Kida? *YesMaybe, I want to learn moreNot right now

2. Which age group do you fall into? *13–18 (Teen)22–38 (Young Adult)Outside these ranges

3. What is your preferred training location? *EvanstonNorthbrookEither worksNeither works for meI’m not near either location

4. What days/times work best for you? (Select all that apply) *Weekday morningsWeekday afternoonsWeekday eveningsWeekend morningsWeekend afternoonsWeekend evenings

5. Have you ever trained in martial arts before? *YesNo

6. What's your main interest in this program? (Select all that apply) *Learn self-defense skillsBuild confidenceMeet other Jewish young adultsPhysical fitnessLearn de-escalation techniquesGeneral personal safety

Are you under 18 years old? *YesNo

Parent/Guardian Full Name *

Parent/Guardian Email Address *

Parent/Guardian Phone Number

Participant Full Name *

Participant Email Address *

Participant Phone Number

Consent *

I agree to the Mission Kida Privacy Policy and understand that submitting this form does not commit me to participation. Mission Kida may contact me, or my parent or guardian if I am under 18, about next steps if training is available.

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