Sifu David Ross: Personal Excellence

Personal Excellence

PLEASE READ BEFORE YOU COMPLETE THIS FORM.

First, I am no "miracle worker" nor am I just trying to con you. Please answer as honestly and as completely as possible so I can determine not only how to help you but IF I can help you. I answer everyone, but I may tell you that you are not the right fit for the program.

Second, for now I am only accepting residents of the continental United States. For this program, I may very well get on a plane and come to visit you, so for now we're going to keep it this way.

Third, in order for this to work I am going to be 100% honest with you. I am going to be brutally honest with you. If you have a thin skin and gentle feelings, you may not want to be part of the program. BE WARNED.

INFO:

Please note that this form contains limited capacity items which are sold out. They are displayed grayed out and/or are not selectable.

Registration inquiries:
David A Ross
info@nysanda.com
247 w 35th street
new york, NY
10001 USA

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Privacy Policy
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Registrant

use this registrant for billing information

First Name

Last Name

Address

City

State

Zip

Mobile Phone

How would you best describe yourself

Martial arts student
Amateur combat sports athlete
Professional combat sports athlete
Martial arts instructor
Martial arts school owner

Please describe your past and current martial arts training, including any ranks, competitions, etc.

Which describes your annual income?

Would you describe yourself as "happy"?

Describe your most recent challenge/problem

Describe your greatest challenge/problem

Explain what you would like to achieve with the help of the program

Terms

Completing this form binds neither Sifu David Ross nor the person filling out the form from entering the "personal excellence" program. Sifu David Ross reserves the right to deny entry to anyone without explanation.

By completing this form, the participant agrees that they have answered as completely and as accurately as to the best of their knowledge all information.

Sifu David Ross agrees that all information will remain STRICTLY CONFIDENTIAL and none of this information will be sold or shared.

Check this box to indicate that you have read and agree to all of the above terms & conditions