Three Kings Joining Form - Adults

Warrior Three Kings Adults Enrolment Form -
Term 1 2018

*Please make sure all fields are completed or the form will not send. You will see a short confirmation message once the form has gone through.

YOUR DETAILS:

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Date of Birth (Day/Month/Year) *

Please provide any health other information that our instructors should know about in order to provide you with the best and safest tuition possible: *

Please note that the fees listed below are for a full term and vary from term to term
depending on how many weeks there are in each term. If you are starting
part way through a term you will only be billed from the week you start training.

Please select Training Fee Option *

1 person - $110 2 family members - $193 (family discount) 3 or more family members - $230 (family discount)

Starter Kit (includes syllabus book and ITKD Registration for each registered family member) *

New Registration (single) $90 New Registration (family) $130 I am already registered with ITKD (no fee required)

Please note that your starter kit includes the initial registration fee
with our national organisation. This needs to be renewed annually
and the renewal fee is much less ($40 - individual, $65 - family)

Uniform - uniforms are available at the discounted price of $70 when first joining. After that they are $85 each. *

I do not wish to purchase a uniform at this time I would like to purchase a uniform now at the discounted price of $70.

If purchasing a uniform, please enter your height in centimetres below: *

I agree to comply with any reasonable direction of the instructors and coaches at Warrior Taekwon-Do in relation to participating in their sessions. I understand that I will be invoiced for the fees outlined above and agree to pay these fees. I agree that I am medically fit to participate in the exercises required for participation in this programme. I agree not to hold Warrior Taekwon-Do or any of its staff / members / coaches / volunteers responsible for any injury I may sustain during my 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). I agree that my contact details may be used to receive communications from Warrior Taekwon-Do including information about my training as well as upcoming events and promotions. *

Yes

Send

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

Warrior Three Kings Adults Enrolment Form -​Term 1 2018

eLLERSLIE

Three Kings

Warrior Three Kings Adults Enrolment Form -
Term 1 2018