Diocesan Free Trial Form

Free Trial Session at Diocesan Branch

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Dio student's name: *

First

Last

Dio student's email (if applicable): *

Dio student's phone number (if applicable): *

Parent's name: *

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Last

Parent's email address: *

Parent's phone number: *

Preferred session to trial: *

Tuesday 7:00-8:15am Thursday 3:30-4:30pm

Is there any medical or other relevant information that we should know about your child? *

Parents please check that you understand and agree: I give consent for my child to participate in Taekwon-Do training and comply with any reasonable direction of the instructors and coaches at Warrior Taekwon-Do in relation to participating in their sessions. I agree that my child is in a good state of health and is medically fit to participate in the exercises required for participation in this programme. I agree not to hold Warrior Industries Limited (trading as Warrior Taekwon-Do) or any of its staff / members / coaches / volunteers responsible for any injury my child may sustain during their participation in this programme. I agree my child's likeness (for example: audio, video, photograph and others) may be published in any of Warrior Taekwon-Do's promotional material in any media (for example: website, print, cinema, video and others). I agree that my contact details may be used to receive communications from Warrior Taekwon-Do including information about my child’s training as well as upcoming events and promotions *

Yes

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eLLERSLIE

Warrior Training Zone
198 Marua Road
Ellerslie

Three Kings

Hillsborough Room
Fickling Centre
546 Mt Albert Rd
Three Kings

DIOCESAN
Diocesan School for Girls
Epsom

CONTACT INFORMATION
Phone 09 580 0411
Email: info@wtkd.co.nz
Or use our online Contact Form