White Belt Camp Registration Form

White Belt Camp: July 30th - September 6th; Tuesday 5:00 - 6:00 & Thursday 5:00 - 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

Email address *

Parent/Guardian Contact Name(s) *

Your answer

Student Name *

Your answer

Student Birthdate *

YYYY

Grade (School Yr 2019-2020) *

Your answer

Student's T-shirt size *

Youth

Adult

Small

Medium

Large

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 *

Submit

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