Membership

All new students are welcome to train for up to two weeks before signing up as a member at Southern Cross TaeKwon-Do. For more information regarding trial lessons, membership fees and enrolment, please visit or contact your local training centre.

Membership Form

Student Name

First Name

Last Name

Parent/Guardian Name

Required for all students under the age of 18.

First Name

Last Name

Phone Number

Date of Birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Training Centre

Please select your primary training centre from the list below.

Training Frequency

How many nights per week do you wish to train?

Trial Lessons

I have attended and participated in the complementary trial lessons at my local training centre.

Emergency Contact

First Name

Last Name

Emergency Contact Phone Number

Medical

Do you suffer from any recurring medical condition, e.g. Asthma, Epilepsy, Heart problems or physical disability? If so, please provide details:

Student Height

(approx. for uniform size)

Previous Training

Have you received any other form of martial arts instruction before? If so, what was the style of martial art, how many years of experience do you have, and which school did you train at?

Declaration

I hereby make application for membership in the Southern Cross TaeKwon-Do (SCTKD) school, and upon acceptance, I sincerely pledge to abide by all the rules and regulations set forth by this school. I clearly recognise that a risk is involved in the studying of TaeKwon-Do and related activities; which has been completely explained to me and my parents and/or guardians. In consideration of accepting my application for entry into SCTKD, I hereby release SCTKD, its Instructors, and all members of SCTKD, from all responsibilities and all claims for injuries I may receive while practicing or as a result of practicing TaeKwon-Do or any related activities and the parents and/or guardians of the applicant hereby request that this application be accepted, and in consideration thereof, agree to indemnify and release all members of SCTKD, from all claims made or which may be made on behalf of the applicant, for the aforesaid consideration. I also agree to abide by the Instructor’s decisions regarding approval to attend grading tests for promotions in rank.