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Programs Release Form

Release Form

Please fill out a form for each student.

Mail completed forms to:
Samurai Sports
15849 North 20th Street
Phoenix AZ 85022
Fax to: 602-996-7161

In addition, forms are available at the training center; you may fill one out on your first day of class.

Download release form
(Adobe Acrobat PDF, 198K)

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