U.S TOP CLASS TAEKWONDO
2 Week Trial Registration
Grand Opening Special Only $29
Participant Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Emergency Contact Name (if under 18)
*
First Name
Last Name
Primary Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Does the participant have any medical conditions?
*
Yes
No
If yes, please describe the medical condition:
Please review and agree to the following before submitting:
*
Assumption of Risk & Liability Waiver I confirm that the participant is physically able to participate in Taekwondo activities. I understand that participation involves the risk of injury and voluntarily assume all risks. I release U.S. TOP CLASS TAEKWONDO, its owners, instructors, employees, and affiliates from any liability for injuries, damages, losses, or claims arising from participation.
Medical Information I agree to inform U.S. TOP CLASS TAEKWONDO of any medical conditions, allergies, injuries, or limitations that may affect the participant's ability to safely participate in class activities.
Media Release I grant permission for U.S. TOP CLASS TAEKWONDO to use photographs, videos, and other media of the participant for promotional, educational, website, social media, and marketing purposes without compensation.
Trial Program Terms I understand that this is a non-refundable trial program. Participation in the trial program does not guarantee enrollment, pricing, promotional rates, or membership benefits beyond the trial period. U.S. TOP CLASS TAEKWONDO reserves the right to refuse or discontinue participation at its discretion.
Class Schedule
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Age 4–6 – Mon & Wed 4:20 PM
Age 4–6 – Tue & Thu 4:20 PM
Age 6–12 – Mon & Wed 5:00 PM
Age 6–12 – Tue & Thu 5:00 PM
Age 6–12 – Mon & Wed 5:45 PM
Age 6–12 – Tue & Thu 5:45 PM
Junior & Adult – Mon & Wed 7:15 PM
Junior & Adult – Tue & Thu 7:15 PM
Program
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Grand Opening Special 2 Weeks Program
$29.00
$
29.00
Quantity
1
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First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
Complete Registration & Pay $29
Privacy Policy
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Privacy Policy: https://www.ustopclasstkd.com/privacy-policy
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