VENANCIO TAEKWONDO ACADEMY Registration Form
Proof of Payment
GCash 0927 837 2876 or 0921 261 3386
BPI Account 9289368431
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Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
Please Attach 2x2 Picture
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Birth Date (Month/ Day/ Year)
*
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Month
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Day
Year
Date
Age
*
Gender
Name of School
*
Contact Information
Name
*
First Name
Last Name
Contact No.
*
Facebook Account (Student)
Facebook Account (Parent/ Guardian)
*
Certification & Waiver
1. I hereby certify that all the above information are true and correct. 2. I release the instructors, organizers and officials of the Philippine Taekwondo Association from any liability whatsoever, arising from any injury or damage which may be sustained during the training, and waive any right or course of action relative thereto.
I Agree
I Disagree
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