Little Dragons Assessment Request Form | Grand Master Kim's Taekwondo

All Little Dragons must be evaluated BEFORE signing up for classes at the YMCA Welcome Center to ensure they are ready to take instruction in a group setting. Every child matures at a different pace and not every student may be ready for our program exactly upon their sixth birthday.

Little Dragons Assessment Form

"*" indicates required fields

Enrollment Date*

Student's Name*

First Last

Birth Date*

Age*

Please enter a number from 6 to 8.

Student's age must be 6-8 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: