Student Questionnaire

Interested in training with us? Please fill out the questionnaire form below, and we’ll contact you about the training program.

Have questions about training at the Atlanta Bujinkan Dojo, or about the process to begin training? We have some answers here:

• General training information
• Information for new students
• Class schedule

Please use the Training Questionnaire form below for new students only. If you’d like to ask a few questions before applying, please use our contact form to get in touch instead:

• “Contact Us” Form

Training Questionnaire

* indicates required field

Name:*

Email:*

Subject:*

Street address*

City*

State*

ZIP*

Phone number*

Age*

How did you hear about the Bujinkan?*

How did you hear about our school?*

What is your interest in the art?*

Have you trained before in this or other arts? If so, please specify (time period studied, teacher(s), any ranks awarded).*

What do you hope to get out of the training?*

What skills/experience/etc. would you add or bring to the group?*

Do you have any physical, mental or medical conditions, injuries or limitations? If so, please specify.*

Do you have any military/law enforcement/EP or related experience or background? If so, please specify.*

Tell us something about yourself—what do you do for a living, do you have a family, etc.*

What hobbies/interests/activities do you participate in?*

Please tell us anything else that may be of importance.

Would you like to be included on our mailing list to be notified of upcoming seminars?

CAPTCHA Code:*

Thank you for your interest in the Atlanta Bujinkan Dojo!