Get Fit Apply

Get Fit for 2019 Application

* Indicates required field

Name *

First

Last

Select *

Female Male

Age Bracket *

Email *

Phone *

Address *

Dates you will attend: *

Thursday 24 January, 6.30pm Tuesday 29 January, 6.30pm Thursday 31 January, 6.30pm

Please outline any health issues that our instructor’s should know about. Please provide all details of any medical conditions as well as any further information about you that coaches/instructors should know about or which may assist them teaching you. *

How did you hear about us? *

Disclaimer/Waiver

I give consent to participate in this programme and agree to comply with any reasonable direction of the instructors and coaches at Warrior Taekwon-Do in relation to participating in this programme. I agree that I am in a good state of health and medically fit to participate in the exercises required for participation in this programme. I agree not to hold Paul M Ltd (trading as Warrior Taekwon-Do) or any of its staff / members / coaches / volunteers responsible for any injury I may sustain during participation in this programme. I agree my 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).

Please check the box agreeing to the above 'Disclaimer & Waiver' as well as any other Terms & Conditions as outlined in this application form & agree that you are providing consent to participate in this programme: *

I agree

I agree that my contact details may be used to receive communications from Warrior Taekwon-Do. *

I agree

Submit

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