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Three Treasures Cultural Arts Society 三寶文化藝術協會
Application For Enrollment In Our Kung Fu Program. Filling out this application does not guarantee acceptance into our program. You are required to meet with our Head Instructor so you can discuss goals and see if it is a good mutual fit for both sides. We are a family-style organization that believes in character development and giving back to others. Not only will you have fun getting into better shape and learn effective self-defense, you will also make great new friends who believe in the mission of our organization. All new students are expected to follow our Code of Ethics. You will still need to sign our Membership Agreement upon enrollment.
Today's Date
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How Did You Find Out About Us?
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Prospect Name
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Parents' Name (if prospect is under 18)
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Date of Birth
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Address
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Cell Phone Number (parents' if under 18)
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Select the Program You Are Applying For
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Why Are You Considering Joining Three Treasures?
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What Are Your Goals (or goals for your children)?
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Explain Any Previous Martial Arts Experience, How Long You Trained, and Why You Stopped.
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How Soon Were You Looking To Training?
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Are Any of Your Family Members Interested In Joining You As Well?
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Do You Have Any Health Issues Such As Previous Injuries, Surgeries, Allergies, Asthma, etc.?
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Waiver of Liability: I hereby release and hold harmless Three Treasures Cultural Arts Society, Inc. (TTCAS), its directors, employees, instructors, agents, successors and assigns from any and all claims, causes of action, suits or liability, cost and expenses (including without limitation reasonable attorneys’ fees) arising out of, or in connection with, any loss, personal injury, death, or other damage that I may incur or suffer by reason or as a result of my participation. I have been fully informed about the nature of martial arts training, including its potentially hazardous aspects, and am fully cognizant of and specifically assume all risks attendant in participation.I, the student or member, irrevocably authorize the school, its successors and assigns, and those under its authority, to copy, use, published for art advertising, trade or any other lawful purpose whatsoever, photographic portraits or videotapes of me, in which I may be included whole or in part. Being a guest of the school I will faithfully comply with all the rules and regulations of the school and the traditions of the martial arts. Failure to take lessons in the allocated time, without written consent or approval, invalidates the lessons beyond the expiration date and does not relieve me of my obligation to pay tuition in full if applicable. I have read this Waiver of Liability form in its entirety, have had it explained, and fully understand its significance and effect. Three Treasures Cultural Arts Society, its directors, employees, instructors, or agents have executed this Waiver of Liability form voluntarily and without reliance upon any statement. This Waiver of Liability shall be binding upon me and my heirs, legal representative and assigns.
Please Electronically Sign Your Name Below (must be at least 18 years old or guardian of minor)
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