MEMBERSHIP APPLICATION Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 6PLEASE ACKNOWLEDGE: National Tae Kwon-Do reserves the right to cancel this membership at anytime. Membership is not transferable. By submitting this membership form, you affirm that you have read and comprehended our class guidelines and wholeheartedly commit to upholding and adhering to the regulations of NATIONAL Tae Kwon-Do. Membership FeeJoining fee $112 includes membership, full Dobock, T-shirtWho are you filling this form out for? *MyselfMy ChildWhat appealed to you about NATIONAL Tae Kwon-Do *How did you find out about us? *I know someone who already trains hereDriving pastSignage on the local school gateWebsiteOtherNextApplicants DetailsApplicants Name *FirstLastLayoutDate of Birth *Age in Years *adultEmail *Phone *Parent Name *FirstLastkidsParent Email *Parent Phone * Address *Address Line 1CityState / Province / RegionPostal CodeName of OccuptionNextEmergency ContactLayoutEmergency Contact Name *Emergency Contact Phone *Relationship *Emergency Contact EmailMedical HistoryDo you suffer from Epilepsy, Heart Disease, or any other form of disability that may impede your involvement with NATIONAL Tae Kwon-Do *YesNoPlease elaborateNextMedia ReleaseTaking photos or videos during training and gradings is not permitted for parents, friends, or other family members. However, authorized personnel may occasionally capture photos and videos for website use and club promotion. For your convenience, our grading event photographers will offer the opportunity to purchase images following the grading. A link will be provided for you to view and select the images you wish to purchase. By continuing with your membership you acknowledge the above. ENewsletter *Yes, I want to receive National Taekwondo Redlands News and Announcements.No Thanks, Not at this time.NextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.I certify that the particulars supplied on this form are true and correct. I acknowledge that my application for membership is accepted on the basis of the information supplied and I hereby agree not to make any claims in the future against NATIONAL Tae Kwon-Do or its instructors for any loss or damage that I may suffer or sustain as a result of physical injury or otherwise out of my attendance at the School. I certify that the particulars supplied on this form are true and correct. I acknowledge that my application for membership is accepted on the basis of the information supplied and I hereby agree not to make any claims in the future against NATIONAL Tae Kwon-Do or its instructors for any loss or damage that I/ my child may suffer or sustain as a result of physical injury or otherwise out of my/ my childs attendance at the School. Applicants Signature *Clear SignatureParents Signature *Clear SignatureDate form signed *Continue to next page to complete membership payment to complete membership application PreviousNextMembership PaymentPrice: $112.00Joining fee $112 includes membership, full Dobock, T-shirtStripe Credit Card *PreviousSubmit