Three Kings Joining Form - Kids - Warrior Taekwon-Do

Warrior Three Kings Kids Enrolment Form -
Term 4 2019

*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.

PARENTS DETAILS:

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

CHILD'S DETAILS

Name *

First

Last

Date of Birth (Day/Month/Year) *

Please enter name and birth date of any other child you are registering: *

Please provide any health or behavioural information about your child(ren) that our instructors should know about in order to provide them 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 child - $125 2 children - $220 (family discount) 3 or more children - $260 (family discount)

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

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

Please note that your starter kit includes the initial registration fee
with our national organisation.

Uniform - uniforms are $85 each *

I do not wish to purchase a uniform at this time I would like to purchase a uniform now

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

Please enter uniform height information for any other children: *

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 understand that I will be invoiced for the fees outlined above and agree to pay these fees.. 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 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

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 Kids Enrolment Form -​Term 4 2019

eLLERSLIE

Three Kings

Warrior Three Kings Kids Enrolment Form -
Term 4 2019