White Belt Camp Registration Form
White Belt Camp: July 30th - September 6th; Tuesday 5:00 - 6:00 & Thursday 5:30 - 6:30pm
Pricing: $65 (includes camp T-shirt, white belt and testing fee)
Event Address: 1108 5th Ave, Grinnell, IA 50112
Contact us at (319)430-0226;
forresttkd@gmail.com
OR
gibsontkd411@gmail.com
Website:
www.grinnelltkd.org
* Required
Email address
*
Your email
Parent/Guardian Contact Name(s)
*
Your answer
Student Name
*
Your answer
Student Birthdate
*
MM
/
DD
/
YYYY
Grade (School Yr 2019-2020)
*
Your answer
Student's T-shirt size
*
Youth
Adult
Small
Medium
Large
XL
Other:
Required
Mailing Address
*
Your answer
Email
*
Your answer
Phone
*
Your answer
Liability Waiver (Check for understanding)
*
Prior to participating in any Grinnell Jung's TKD programs, all students must have a liability waiver signed and on file.
Required
Payment Info
*
Choose
I will send in a check (Payable to Jung's Taekwondo Grinnell) via US mail
Please PayPal me
I will provide cash or check on July 30th
Submit
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