Introductory TaeKwonDo Program

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Please print this page and bring it with you for your first class.

For beginner white belt class schedule click here.

Today's Date ________________

Student's Name ____________________    Age ______    Male or Female

Address ___________________________________ Zip ______________

Phone # _______________________    E-mail _____________________

Parent's Names_______________________________________________

Referred by__________________________________________________

Has your child ever taken Martial Arts?  Y     N

Why would you like your child to take TaeKwonDo Classes? ___________

_____________________________________________________________