REGISTER FOR KUNG FU KIDS!


Location

Which Kung Fu Kids location will you attend:   

Student 1: 

First Name:                                Surname:

Date of birth:         

Current school:                                   Year:

Student 2: (if applicable) 

First Name:                                 Surname:

Date of birth:         

Current school:                                   Year:


Parent / Guardian:

First Name:                                 Surname:

Address: 


Email address:              Contact number:

     Kung Fu Kids occasionally sends important emails about our program and registration. If you do not wish to receive these emails,
            please tick this box.

Additional emergency contact person: 

First Name:                                  Surname:

Contact number:


Medical information 

Kung Fu Kids involves physical exertion.  Does the student have any medical conditions that we should be aware of, or require any medication?


Consent for photographs

Occasionally, we may take photographs of students for use in publications and promotional
material.

Can we photograph the student and use that photograph in our publications?

  


Refund policy

Please note that students join Kung Fu Kids on a term basis. To ensure fairness to all students, we will not offer refunds if a student does not attend class.


General Permission

I give my consent and permission for the student to participate in Kung Fu Kids activities.

  

Name:

Date:  

After submitting this form, you will be redirected to a payment page. Please ensure that you complete the payment process!