Trial Class Registration Form

Trial Class Consent

Fill out this form to participate in a trial session
Date of Class you would like to participate*

MonthDayYear
Date
Email*
example@example.com
Student Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*
Parent or Legal Guardian Name

First NameLast Name
Parent or Legal Guardian Name

First NameLast Name
Mobile Number*
Phone Number
Please list any medical conditions or allergies*
- Buyer/Enrollee represents that he/she is in good health and suffers from no physical, mental or social impairments which would restrict his/her participation in the classes, examinations and other activities or jeopardize his/her, or another person’s health in any way from doing so.
- Buyer/Enrollee realizes that there is a risk of injury involved in participating in TaeKwon-Do classes, examinations and other activities and voluntarily assumes the risk of accident, injury, damage, loss or other harm of any kind to his/her person or property as a result of participating in Fox TaeKwon-Do Schools and/or affiliated schools/clubs classes, examinations, tournaments and/or other activities or which may occur as a result of intentional or negligent acts caused by third persons.
- Buyer/Enrollee agrees to hold Fox TaeKwon-Do Schools, affiliated schools/clubs, officers, agents, employees, instructors, fellow members and authorized guests harmless from all claims, liability, demands, suits, actions or other proceedings of any kind. Buyer/Enrollee irrevocably authorize
Parent/Guardian Signature (Student signature if over 18) *

Clear
Should be Empty:

Trial Class Consent