Membership Application

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PLEASE 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 Fee

Joining fee $112 includes membership, full Dobock, T-shirt

Who are you filling this form out for? *

Myself
My Child

What appealed to you about NATIONAL Tae Kwon-Do *

How did you find out about us? *

Applicants Details

Applicants Name *

First

Last

Date of Birth *

Age in Years *

Email *

Phone *

Parent Name *

First

Last

Parent Email *

Parent Phone *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Name of Occuption

Emergency Contact

Emergency Contact Name *

Emergency Contact Phone *

Relationship *

Emergency Contact Email

Medical History

Do you suffer from Epilepsy, Heart Disease, or any other form of disability that may impede your involvement with NATIONAL Tae Kwon-Do *

Please elaborate

Media Release

Taking 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.

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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 Signature

Parents Signature *

Clear Signature

Date form signed *

Continue to next page to complete membership payment to complete membership application

Membership Payment

Price: $112.00

Joining fee $112 includes membership, full Dobock, T-shirt

Stripe Credit Card *