• WING CHUN KUEN TRAINING CENTRE

  • NEW STUDENT REGISTRATION FORM

    Fill out the form carefully for registration


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    Pick a Date
  • Parent/Guardian Information (if student is under 18)

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  • Alternative Emergency Contact

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  • Membership

     

  • I understand that all sports carry a risk of injury and that Wing Chun Kuen Training Centre is not responsible for injuries or losses suffered as the result of parting in these activities.

    From time to time Wing Chun Kuen Training Centre will post photographs of our students, instructors, and supporters online. I will let Wing Chun Kuen Training Centre know by email if I do not consent to my or my child's photo being shared.

    Wing Chun Kuen Training Centre will give 30 days' written notice of any fee increase.

  • Medical Authorization 

    In the event of an injury or medical emergency, I allow Wing Chun Kuen Training Centre to provide first aid, arrange transport to a medical facility, and authorize emergency treatment as recommended by a doctor for the student named above.

    I understand that all reasonable efforts will be made to contact the student's parent and/or emergency contact if an injury or medical emergency occurs.

  • Confirmation

    BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

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