Winter Session Registration Form

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 instructorw should be aware of? Specify if yes or type "No" if not.

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

Yes

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 after the registration form is submitted.

The school will be closed on the following dates:

February: 19th, 21st

April: 15th, 17th, 22nd

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.