Winter Session Registration Form

Student #1

Existing Student

New / Returning Student

Sudent's Gender Required

Male

Female

Do you have any previous martial arts experience? If yes, please explain, otherwise type "No"

Do you have any medical conditions that prohibits you from participating in sports activities?

Yes

No

Student #2

Existing Student

New / Returning Student

Sudent's Gender

Male

Female

Do you have any previous martial arts experience? If yes, please explain, otherwise type "No"

Do you have any medical conditions that prohibits you from participating in sports activities?

Yes

No

Student #3

Existing Student

New / Returning Student

Sudent's Gender

Male

Female

Do you have any previous martial arts experience? If yes, please explain, otherwise type "No"

Do you have any medical conditions that prohibits you from participating in sports activities?

Yes

No

Payment Method

Total payment amount and applicable discounts will be provided in an invoice by email after the registration form is submitted. Do not submit payment at this time.

Media Authorization: Celebrating TKM NJ Student Achievements

I authorize the use of my / my child's image to be displayed in the TKM NJ Media selected below.

Contact Details

Emergency Contact

School Observed Dates

The school will be closed on the following dates:

January: 19th

February: 16th, 18th

April: 1st, 13th, 15th

Attestation

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

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

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

Traditional Krav Maga of NJ
- The Passion to Empower -

Winter Session Registration

Jan 5th - April 29th 2026

Payment Method

Contact Details

Emergency Contact

School Observed Dates

Attestation

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