Registration Form

Child's Information
Last Name*
First Name*
Date of Birth*
Age*
Gender*
Parent's E-mail*
Home Address*
Province*
Postal*
Home Phone*

Custody
Custody
Child Resides With

Parent Information

Are you a single parent?:

You are a:

Single Parent: Mother's Information
Mother's Full Name
Phone
Home Address:
Work Address
Work Phone
Cell Phone

Single Parent: Father's Information
Father's Full Name
Phone
Home Address:
Work Address
Work Phone
Cell Phone

Mother's Information
Mother's Full Name
Phone
Home Address:
Work Address
Work Phone
Cell Phone

Father's Information
Father's Full Name
Phone
Home Address:
Work Address
Work Phone
Cell Phone

Emergency Contacts
Should an emergency occur and you cannot be reached, please give the name, address and telephone number of a friend or relative who would assume responsibility for your child. Please provide two emergency contacts. If at any time emergency medical treatment is necessary for my child, I give my consent for it to be given. I understand that every effort will be made to the contact the parents and/or the emergency persons listed.
Name* (Contact Person #1)
Address*
Phone*
Relation to Child*
Another contact:
Name (Contact Person #2)
Address
Phone
Relation to Child
Other person authorized to pick up my child and relationship
Address
Phone
Family Physician Name*
Physician Phone*

Personal Data
We want your child's experience to be the best it can be! Please help us by listing any and all relevant social and health concerns or conditions.
Social
Health
Medications
Allergies
Has your child been immunized as required by the Education Act?*
If No, why?
Does your child require after school pickup?*
School & Pick-up Details
School*
Pickup location & details*
Pick up start date?*
Pick-up time*
Days required for pick-up*
MondayTuedayWednesdayThursdayFriday


In registering I am permitting my child to attend Royal Taekwondo programs. I the undersigned parent, guardian or other duty authorized party hereby agree as follows:

  • To permit my child to participate in the full range of activities.
  • I agree to let my child go on supervised excursions outside the Royal Taekwondo facility.
  • I understand that photographs and/or video take during the programs may be used in promotional material and that programs/classes are broardcast live via the internet and I hereby consent to such use by Royal Taekwondo.

Student's Information
Last Name*
First Name*
Date of Birth*
18 years of age or older?*
You or your child's age*
Gender*
Primary E-mail*
Home Address*
Province*
Postal Code*
Home Phone*

Emergency Contacts
Should an emergency occur, please give the name, address and telephone number of a friend or relative. Please provide two emergency contacts. If at any time emergency medical treatment is necessary, I give my consent for it to be given. I understand that every effort will be made to contact the parents and/or the emergency persons listed.
Name (Contact Person #1)*
Address*
Phone*
Relation to student*
Another contact:
Name (Contact Person #2)
Address
Phone
Relation to the student
Other person authorized
Address
Phone*
Family Physician Name*
Physician's Phone #

Personal Data
We want your experience to be the best it can be! Please help us by listing any and all relevant social and health concerns or conditions.
Social
Health
Medications
Allergies

Programs
Check all that apply*

I, the undersigned, hereby agree as follows:

  • I agree that the information provided above is true and accurate to the best of my knowledge.
  • I have reviewed and agree with the Terms of Service found here.
  • I understand that photographs and/or video taken during the programs may be used in promotional material and that programs/classes are broadcast via the internet and I hereby consent to such use by Royal Taekwondo.

Custody
Custody
Student Resides With

Parent Information

Are you a single parent?:

You are a:

Single Parent: Mother's Information
Mother's Full Name
Phone
Home Address:
Work Address
Work Phone
Cell Phone

Single Parent: Father's Information
Father's Full Name
Phone
Home Address:
Work Address
Work Phone
Cell Phone

Mother's Information
Mother's Full Name*
Phone*
Home Address:
Work Address*
Work Phone*
Cell Phone*

Father's Information
Father's Full Name*
Phone*
Home Address:
Work Address*
Work Phone*
Cell Phone*

Emergency Contacts
Should an emergency occur and you cannot be reached, please give the name, address and telephone number of a friend or relative who would assume responsibility for your child. Please provide two emergency contacts. If at any time emergency medical treatment is necessary for my child, I give my consent for it to be given. I understand that every effort will be made to the contact the parents and/or the emergency persons listed.
Name (Contact Person #1)*
Address*
Phone*
Relation to student*
Another contact:
Name (Contact Person #2)
Address
Phone
Relation to student
Other person authorized to pick up my child and relationship
Address
Phone
Family Physician Name*
Physician's Phone*

Personal Data
We want your experience to be the best it can be! Please help us by listing any and all relevant social and health concerns or conditions.
Social
Health
Medications
Allergies
Have you been immunized as required by Education Act?:
If No, why?*

Programs
Check all that apply*
In registering I am permitting my child to attend Royal Taekwondo programs. I the undersigned parent, guardian or other duty authorized party hereby agree as follows:

  • To permit my child to participate in the full range of activities.
  • I agree to let my child go on supervised excursions outside the Royal Taekwondo facility.
  • I understand that photographs and/or video take during the programs may be used in promotional material and that programs/classes are broardcast live via the internet and I hereby consent to such use by Royal Taekwondo.

After School

Child's Information
Last Name*
First Name*
Date of Birth*
Age*
Gender*
Parent's E-mail*
Home Address*
Province*
Postal*
Home Phone*

Custody
Custody
Child Resides With

Parent Information

Are you a single parent?:

You are a:

Single Parent: Mother's Information
Mother's Full Name
Phone
Home Address:
Work Address
Work Phone
Cell Phone

Single Parent: Father's Information
Father's Full Name
Phone
Home Address:
Work Address
Work Phone
Cell Phone

Mother's Information
Mother's Full Name
Phone
Home Address:
Work Address
Work Phone
Cell Phone

Father's Information
Father's Full Name
Phone
Home Address:
Work Address
Work Phone
Cell Phone

Emergency Contacts
Should an emergency occur and you cannot be reached, please give the name, address and telephone number of a friend or relative who would assume responsibility for your child. Please provide two emergency contacts. If at any time emergency medical treatment is necessary for my child, I give my consent for it to be given. I understand that every effort will be made to the contact the parents and/or the emergency persons listed.
Name* (Contact Person #1)
Address*
Phone*
Relation to Child*
Another contact:
Name (Contact Person #2)
Address
Phone
Relation to Child
Other person authorized to pick up my child and relationship
Address
Phone
Family Physician Name*
Physician Phone*

Personal Data
We want your child's experience to be the best it can be! Please help us by listing any and all relevant social and health concerns or conditions.
Social
Health
Medications
Allergies
Has your child been immunized as required by the Education Act?*
If No, why?
Does your child require after school pickup?*
School & Pick-up Details
School*
Pickup location & details*
Pick up start date?*
Pick-up time*
Days required for pick-up*
MondayTuedayWednesdayThursdayFriday


In registering I am permitting my child to attend Royal Taekwondo programs. I the undersigned parent, guardian or other duty authorized party hereby agree as follows:

  • To permit my child to participate in the full range of activities.
  • I agree to let my child go on supervised excursions outside the Royal Taekwondo facility.
  • I understand that photographs and/or video take during the programs may be used in promotional material and that programs/classes are broardcast live via the internet and I hereby consent to such use by Royal Taekwondo.

General Signup

Student's Information
Last Name*
First Name*
Date of Birth*
18 years of age or older?*
You or your child's age*
Gender*
Primary E-mail*
Home Address*
Province*
Postal Code*
Home Phone*

Emergency Contacts
Should an emergency occur, please give the name, address and telephone number of a friend or relative. Please provide two emergency contacts. If at any time emergency medical treatment is necessary, I give my consent for it to be given. I understand that every effort will be made to contact the parents and/or the emergency persons listed.
Name (Contact Person #1)*
Address*
Phone*
Relation to student*
Another contact:
Name (Contact Person #2)
Address
Phone
Relation to the student
Other person authorized
Address
Phone*
Family Physician Name*
Physician's Phone #

Personal Data
We want your experience to be the best it can be! Please help us by listing any and all relevant social and health concerns or conditions.
Social
Health
Medications
Allergies

Programs
Check all that apply*

I, the undersigned, hereby agree as follows:

  • I agree that the information provided above is true and accurate to the best of my knowledge.
  • I have reviewed and agree with the Terms of Service found here.
  • I understand that photographs and/or video taken during the programs may be used in promotional material and that programs/classes are broadcast via the internet and I hereby consent to such use by Royal Taekwondo.

Custody
Custody
Student Resides With

Parent Information

Are you a single parent?:

You are a:

Single Parent: Mother's Information
Mother's Full Name
Phone
Home Address:
Work Address
Work Phone
Cell Phone

Single Parent: Father's Information
Father's Full Name
Phone
Home Address:
Work Address
Work Phone
Cell Phone

Mother's Information
Mother's Full Name*
Phone*
Home Address:
Work Address*
Work Phone*
Cell Phone*

Father's Information
Father's Full Name*
Phone*
Home Address:
Work Address*
Work Phone*
Cell Phone*

Emergency Contacts
Should an emergency occur and you cannot be reached, please give the name, address and telephone number of a friend or relative who would assume responsibility for your child. Please provide two emergency contacts. If at any time emergency medical treatment is necessary for my child, I give my consent for it to be given. I understand that every effort will be made to the contact the parents and/or the emergency persons listed.
Name (Contact Person #1)*
Address*
Phone*
Relation to student*
Another contact:
Name (Contact Person #2)
Address
Phone
Relation to student
Other person authorized to pick up my child and relationship
Address
Phone
Family Physician Name*
Physician's Phone*

Personal Data
We want your experience to be the best it can be! Please help us by listing any and all relevant social and health concerns or conditions.
Social
Health
Medications
Allergies
Have you been immunized as required by Education Act?:
If No, why?*

Programs
Check all that apply*
In registering I am permitting my child to attend Royal Taekwondo programs. I the undersigned parent, guardian or other duty authorized party hereby agree as follows:

  • To permit my child to participate in the full range of activities.
  • I agree to let my child go on supervised excursions outside the Royal Taekwondo facility.
  • I understand that photographs and/or video take during the programs may be used in promotional material and that programs/classes are broardcast live via the internet and I hereby consent to such use by Royal Taekwondo.