Enrollment Registration Form | Grand Master Kim's Taekwondo

Beginners classes are Tuesday evenings 5:45p – 6:45p and Saturday 10:00 – noon.

Taekwondo Enrollment Registration Form

"*" indicates required fields

Enrollment Date*

Student's Name*

First Last

Birth Date*

Age*

Please enter a number greater than or equal to 8.

Student's age must be at least 8 years old.

Parent/Guardian Name 1*

First Last

Parent/Guardian Name 2

First Last

Street Address*

City*

State*

Zip Code*

Primary Phone*

Email Address*

Belongs To*

First

Type of Phone

Cell Phone

Additional Phone

Email Address

Belongs To

First

Type of Phone

Cell Phone

Please explain any special needs: