Registration Form ‹ Lee's Martial Arts

Username

*Confirm E-mail

*First Name

*Last Name

*Lee's Affilliation

*Password

*Confirm Password

Strength Indicator

Your password must be at least 10 characters long. To make your password stronger, use upper and lower case letters, numbers, and the following symbols !@#$%^&*()

Disclaimer

By registering for a Lee's Member account, you are affirming that you are a current student of Lee's (or Lee's via the YMCA) or the parent of a student under the age of 18.

Your account request must be reviewed by an administrator. After registering, please send an email to info@leesbloomington.com from the email account you registered with. This email only really needs to contain your name and your affiliation with Lee's. Sorry about requiring that step, but we've had too many false account requests over the years. If you fail to send an email, your account may not be verified for up to one week.

Acknowledge understanding of this by clicking below.

I am a current student or parent and understand that I need to send an email

Registration confirmation will be emailed to you.

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