Free Taekwondo Class Registration Form

Registration Form

Free Taewkondo Class for children aged 6- 18
Venue:

Circability Headquarters 203–271 Victoria Street West, Auckland Central, free parking available on site.
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
example@example.com
Mobile Number
Emergency contact name

First NameLast Name
Emergency contact number
We will be running a total of six sessions:

📅 Weekly Schedule
• June 14 (Sat): 10:00 AM – 11:00 AM(1hr)
• June 21 (Sat): 10:00 AM – 11:00 AM(1hr)
• June 28 (Sat): 10:00 AM – 11:00 AM(1hr)
• July 5 (Sat): 10:00 AM – 12:00 PM(2hrs)
• July 12 (Sat): 10:00 AM – 12:00 PM(2hrs)
• July 19 (Sat): 10:00 AM – 11:00 AM(1hr)

Please let us know if you are unable to attend any of the sessions.
Additional Comments
Should be Empty:

Registration Form