Aldershot Taekwon-Do Enrolment Form

Student Registration Form

Please fill out the form carefully for registration from September 2020 onward
Student Name *

First Name Last Name
Birth Date

Month Day Year
Gender *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Contact E-mail *
example@example.com
Mobile contact number *

Area Code Phone Number
Emergency contact name *

First Name Last Name
Emergency contact mobile *

Area Code Phone Number
Emergency contact landline

Area Code Phone Number
Medical information - has the applicant/student been diagnosed with any of the following
Additional Comments relating to medical history
How did you find out about us?
What are you reasons for starting a Martial Art? *
All members and potential members (trial students) agree to and abide by the following

1. Students rules click here

2. Our terms and conditions click here
Please verify that you are human *
Signature *

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Student Registration Form