Fall Session Registration Form

Fall Session Registration

September 3rd - December 22nd

Student's Information

Sudent's Gender Required

Male

Female

Do you have any previous martial arts experience? If yes, please explain.

Do you have any current / past injuries or allergies the instructor should be aware of? Specify if yes or type "No" if not.

Do you have any medical conditions that prohibits you from participatng in sports activity?

Yes

Class Preferences

Media Authorization - TKM NJ celebrates students' accomplishments

I authorize for my / my child's image to be displayed in the following TKM NJ Media

TKM organization requires that all students attend classes wearing TKM uniform.

Total Payment amount and applicable discounts will be sent via email after the registration form is submitted. Please do not submit payment before receiving the invoice.

Emergency Contact Information

School Observed Dates

The school will be closed on the following dates:

Sep 22nd, Sep 24th, October 1st, October 6th

Attestation

I have read, understood, and I agree to the terms of this agreement. View terms

I affirm that the information I provided is accurate and complete. I am 18 years of age or older, and I am authoized to sign this form.

Student's Signature (Parent / Legal Guardian if student is under 18 years of age.

Traditional Krav Maga of NJ
- The Passion to Empower -