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 taken during the programs may be used in promotional material 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 taken during the programs may be used in promotional material 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 taken during the programs may be used in promotional material 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 taken during the programs may be used in promotional material and I hereby consent to such use by Royal Taekwondo.