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Joining Form

Join yourself or your child for Taekwon-Do

(Please complete a separate form for each person joining)

Please select the class you'd like to register for:

N.B. We also have an extra Saturday class at no extra cost.

Have you already been along to our club?

Details of the person joining

First Name

Last Name

Gender

Male Female

Age

Date of Birth

Address

Postcode

Occupation

Mobile

Medical Issues?

Friends or family?

What would you like to achieve?

Upload Photo

We need a photo for your membership card. Please upload a passport type photo (head & shoulders)

Uniform (please select)

Beginner ($95) Matrix ($120)

Uniform size (measure your height)

Uniform: Beginner uniforms are screen printed. Matrix uniforms are embroidered, wash n wear fabric. See the differences HERE

Costs: Joining fee is $95 (individual) or $130 (family). We will send you an invoice once we receive this form.

Contact details of person starting, or parent if under 18:

Parent's Name

Your Occupation

For Parents

Your Emergency contact

Contact Number

Emergency Email

Relationship

Were we easy to find online?

Yes No

Keywords

How did you hear about us?

Word of mouth Internet Search Our Paul M TKD Website ITKD National Website (itkd.co.nz) Facebook Other

Terms & Conditions

I have read and accept the TERMS & CONDITIONS on behalf of myself or any children in my care.

Member Of

We Use

AFFILIATED TO

SUPPORTER OF

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Paul M Taekwon-Do Papakura. Phone / Txt 021 983 532

Main Menu

About Us
Why Taekwon-Do?
- For Whom?
Classes
How to Join
Members
- News
- Forms
- Photos
Shop
- Cart
Contact

Phone / Txt 021 983 532