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Online Registration Form Pacific Coast Taekwondo Schools Ltd 5786 203 Street Langley, BC Canada * Ph (604) 533-7855 Fx 530-4752 Please fill out below & email back or print page & fax back to us |
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| Student full name | ||||||
| Parent /guardian(s) | ||||||
| Student mail address Zip | ||||||
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| E-Mail Website | ||||||
| Other contact info | ||||||
| Birth Date M D Y Sex M F Today's Date M D Y | ||||||
| Medical concerns (Med. alert, allergies, previous injuries etc.) | ||||||
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Club applicants only: Program?
After School ( ) One class free visit (
) $110 Intro( ) VIP Pass ( ) What public/privateschool do you attend? Previous martial arts experience? How did you hear of our school? |
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Competitors / Pre-Registration only:
Rank? Height & weight? Club/Instructor? |
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| Please Read Carefully 1. I/we understand that the purpose of martial arts is to develop self discipline, improve physical fitness, mental awareness and develop self defense skills. I understand that some facets of the program may involve bodily contact and am duly aware of the risks and hazards inherent in such activities. I am responsible for all injuries during the exercises. If any concerns are present for me I will visit a qualified physician prior to undertaking my first class. 2. After School Program ~ I clearly understand there is no daycare here, this is a martial arts school and expect to participate in all conventional elements including promotion tests, acquiring equipment as required. * Discontinuation requires 30 Days written notice. 3. There are no refunds after attending my first class. Personal equipment and clothing will not be accepted for return unless defective and presented immediately. Time credits, if considered, are only under dire circumstances and a doctors note is required. Students are encouraged to attend every available class. Failure of the student to regularly attend prescribed classes and/or utilize school facilities / services, short term illness, vacation, or loss of interest does not relinquish participant or their guardian/guarantor of the obligation to pay the agreed term in full. *NSF RE-PAYMENT POLICY $30, Cash or certified payment only, Repayment due within 4 days or service suspended until paid. 4. The school is not responsible for missing clothing or other personal items. 5. The school will close for national holidays, a brief Summer and Christmas break. The school reserves the right to alter the days and hours of operation if necessary. 6. I/we must keep strictly to the rules of this school & I/we have read this document and fully agree with the conditions set out herein. |
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| Applicant's signature (19 or older) | ||||||
| Applicant's legal guardian/co-signer | Relationship | |||||
| Signature | ||||||