Winter Session Registration Form

Winter Session Registration

Jan 6th - April 30th 2025

Student's Information

Sudent's Gender

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 participating 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 provided in an invoice by email after the registration form is submitted. Do not submit payment at this time.

Emergency Contact Information

School Observed Dates

The school will be closed on the following dates:

January: 20th

February: 17th, 19th

April: 14th, 16th

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 -