Holloman Kickboxing Club
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1.
Please provide your First/Last name:
(Required.)
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2.
Please provide a contact phone number:
(Required.)
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3.
Please provide your Email:
(Required.)
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4.
Classes take place two times a week. All classes are held at the Domenici Fitness Center in the Aerobics room. Which day(s) do you plan to attend?
(Required.)
Mondays @ 6:00pm
Saturdays @ 10:30am
Other
If other, please list which classes you plan on attending
5.
Do you possess any of the following required equipment? (check all that apply)
Boxing Gloves (12oz, 14oz, or 16oz)
Jump Rope
Mouthpiece
Shin Guards
Hand wraps (optional)
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6.
If you do not possess the required equipment listed above, do you agree to acquire and bring the mandatory required equipment to class?
(Required.)
7.
Please select your age demographic
Under 18
18-24
25-34
35-44
45-54
55-64
65+
8.
What is your current level of boxing/kickboxing experience?
Beginner (I've never tried it before)
Intermediate (I've taken a class or two and feel somewhat comfortable)
Advanced (I have plenty of experience)
9.
Please select the response that best represents your affiliation with Holloman Air Force Base?
Current Military member
Spouse
Dependent
Civilian Employee
Retiree
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10.
Classes are FREE of charge. All classes are held at the Domenici Fitness Center in the Aerobics room. Please reach out to the instructor Rich Huerta at 509-720-0446 or Richard.huerta.7@us.af.mil with any questions. If not, we will see you in class!
(Required.)