New Member Registration

Full Name (Student)*

Gender*

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Photo*

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Student NRIC or Passport No*

eg. 123456-12-1234

Student Date of Birth*

Date

Student Nationality*

Phone Number (Whatsapp Group)*

Please enter a valid phone number.

Email*

example@example.com

Primary Language*

Additional Language(S)

Address*

Address Line 1

Address Line 2

CityState

Postcode

Height / Uniform Size (cm)*

Taekwondo Experience*

Student is Below 18 years Old?*

YesNo

Parent/Guardian Name:

Parent NRIC or Passport No*

eg. 123456-12-1234

Relationship to the student

Please specify the relationship

Emergency Contact (Backup Number)*

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How do you like to pay for the registration? (RM300)

Bank Transfer (DuitNow & GIRO)Touch and GoDuitNow QR

Please make a payment of RM300 to the following account and submit the payment receipt as proof of payment

MAYBANK

104022055203

CHAUW PROOM WICHIT

Please make a payment of RM300 to the following account and submit the payment receipt as proof of payment

TAEKWONMAS ACADEMY

Please make a payment of RM300 to the following account and submit the payment receipt as proof of payment

How would you send the payment receipt?*

Send via Whatsapp (+60122108748)Attach into this Form

Please upload the payment receipt from the above into below space.*

I, Parent/Guardian* of NRIC/Passport No NRIC/Passport*, parent/guardian of Student Name* of NRIC/Passport No Student's NRIC/Passport* , hereby declare that I give consent to my son/daughter/ward to participate in TAEKWONMAS Taekwondo training (and/or related activity), and in so doing, I agree to abide by the applicable rules and regulations as may be prescribed from time to time by the Organizer. I further agree that I will not hold the TAEKWONMAS ACADEMY, MBW TAEKWONDO CLUB, TAEKWONDO MALAYSIA (TM), its program facilitators and/or other persons and/or entities involved with this activity responsible or liable in any way for, and that no right of action shall arise from, any loss or damage (including, without limitation, personal injury to myself/a family member or property damage) caused by or sustained as a result of participation in the activities, whether through neglect on the part of the Academy, its officers, or any of its full time part time staff (including student assistants) or otherwise.

I, {parentguardianName} of NRIC/Passport No {parentNric}, as the legal guardian of {fullName} of NRIC/Passport No {studentNric}, acknowledge and agree that my child's participation in Taekwondo activities at Taekwonmas Academy involves inherent risks of injury. I understand that despite the safety measures and supervision, accidents or injuries can occur.

In consideration of allowing my child to participate in these activities, I hereby waive and release any and all claims, demands, or causes of action against Taekwonmas Academy, MBW Taekwondo Club (WTF), Taekwondo Malaysia (WTF), its officers, trainers, or anyone involved in the activities at the academy, from liability for any injury, illness, or death resulting from my child's participation.

I agree not to bring any legal action or claim against the aforementioned parties in the event of injury, illness, or death sustained during or arising from my child's involvement in Taekwondo activities.

I understand and acknowledge the risks involved and accept full responsibility for any injury, illness, or unfortunate outcome that may occur while my child participates in Taekwondo activities at Taekwonmas Academy.

I, Student Name* of NRIC/Passport No Student's NRIC/Passport* , hereby declare that I have voluntarily chosen to participate in TAEKWONMAS Taekwondo training (and/or related activity) on my own accord. In so doing, I acknowledge that I may be subjecting myself to possible risks and hazards which could result in illness, injury or death.
In consideration of my participation in the training, I agree to assume all risks of illness, injury or death and agree not to sue and to release from liability and indemnity TAEKWONMAS ACADEMY, MBW TAEKWONDO CLUB, TAEKWONDO MALAYSIA(TM), its organizers, its program facilitators and/or other persons and/or entities involved with this activity, from all actions, claims or demands for injury or damage or loss regardless of the cause resulting from my participation in the said activity.
I have carefully read this agreement and I hereby acknowledge and sign this
agreement of my own free will

I, {fullName} of NRIC/Passport No {studentNric}, hereby declare that I have voluntarily chosen to participate in TAEKWONMAS Taekwondo training (and/or related activity) on my own accord. In so doing, I acknowledge that I may be subjecting myself to possible risks and hazards which could result in illness, injury or death.

In consideration of my participation in the training, I agree to assume all risks of illness, injury or death and agree not to sue and to release from liability and indemnity TAEKWONMAS ACADEMY, MBW TAEKWONDO CLUB, TAEKWONDO MALAYSIA(TM), its organizers, its program facilitators and/or other persons and/or entities involved with this activity, from all actions, claims or demands for injury or damage or loss regardless of the cause resulting from my participation in the said activity.

I have carefully read this agreement and I hereby acknowledge and sign this
agreement of my own free will

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