REGISTRATION

Student Name *

First Name

Last Name

Parent Name (If student 18 years or under)

First Name

Last Name

Student Date of Birth

MM

DD

YYYY

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Waiver *

The undersigned Member, or their legal parent/guardian (henceforth shall be referred to as Member), acknowledges that Taekwondo is an active sport. The undersigned fully understands that: (A) Taekwondo training involves risks and dangers of serious bodily injury; (B) these risks and dangers may be caused by the Members' own actions or inactions, the actions and inactions of others participating in the training, and/or the conditions in which the training takes place. The Member further releases Baek’s Taekwondo Academy, its staff members and all fellow students from any and all liabilities resulting from personal injury or loss of personal property. The Member also agrees that no other representation is made other than what is agreed to in writing herein. Failure to use the services provided by Baek’s Taekwondo Academy will not relieve the member of payment. The Member also acknowledges that the Member has read and understands the terms and conditions of this Waiver and associated Terms & Conditions.

I agree to Baek's Taekwondo waiver

Terms & Conditions *

The terms & conditions can be viewed in the yellow box to the right.

I agree to Baek's Taekwondo Academy's terms and conditions

Photo Release *

I acknowledge Baek's Taekwondo Academy may use my photo/video image for promotional purposes.

Yes