FREE Trial Class 2023

Student Information

Free Trial On Our Free Time

We will contact you and schedule a time to come and see us. See you soon!

How many students will participate?*

Student Name 1*

First Name

Last Name

Date of Birth: Age 5+*

Student Name 2*

First Name

Last Name

Date of Birth: Age 5+*

Student Name 3*

First Name

Last Name

Date of Birth: Age 5+*

Student Name 4*

First Name

Last Name

Date of Birth: Age 5+*

Parent / Gaurdian Name

First Name

Last Name

Cell Phone*

Email*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Liability Waiver

By submitting this registration form you understand that

Taekwon-do is a sport, which has natural risks like any other athletic activity. You will not hold Fit & Kick or its instructors, responsible for injuries sustained during class. You affirm to have listed any and all medical conditions the participants have so we can ensure their safety in class. You understand the we record all of our sessions for attendance purposes, and review student progress.

Medical Info*

Write NO or N/A if there is nothing to report.

Agreement*

I agree to the liability waiver and have provided any necessary medical history above.

Signature*

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Use your mouse or finger to draw your signature above