Ch'uang Chuan Pai Southern Shaolin Kung Fu / ICBA
United States Martial Arts Team - Training Center
STUDENT ORDER FORM - Ch'uang Chuan Pai
Please complete this form and give it to your instructor to process. Any questions concerning size and requirements may be answered by any CCP Instructor.
Name____________________________________________Age__________
Date of Birth____________________Phone__________________________
Street Address__________________________________________________
City______________________________Zip Code_____________________
T-Shirt Size (circle one)
CH S CH M CH L Adult S Adult M Adult L Adult XL Adult 2XL
Quantity ______________ Total Price ______________
Uniform Pants Size (circle one)
000 00 0 1 2 3 4 5 6 7
Quantity ______________ Total Price ______________
Gear Bag – one size adult and Child ___________
Quantity ______________ Total Price ______________
Sparring Gear
Head Gear Child - Small Medium Large XL
Hand Gear Pee Wee Child Small Medium Large XL
Foot Gear Child 4 6 8 10 Adult 7 9 11 13
Sparring Gear (circle one each line)
Quantity ______________ Total Price ______________
Shoes: Children’s’ Size _______ Women’s Size_______ Men’s Size ________
Quantity ______________ Total Price ______________
Mouthpiece Child_________ Adult____________
Quantity ______________ Total Price ______________
Cup waist: 18-23____ 23-26______ 26-32____ 32-36____ 37-42_______
Quantity ______________ Total Price ______________
Check Amount Total___________________