Pure Taekwondo Registration Form
Please fill out this form in ints entirety.
Email address *
Basic Info
First Name *
Your answer
Last Name *
Your answer
Height *
Your answer
Weight *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Your Current Employer: *
Your answer
Have you done a martial art before? *
How long did you do study martial arts before? *
What Martial Art did you take? *
Your answer
Did you a achieve a rank or get a black belt?
Your answer
If you are a TKD Black Belt, what is your Dan No.
Your answer
Contact Information
Email Address: *
Your answer
Contact Number *
Please provide a number where you can be easily contacted.
Your answer
Emergency Contact Number *
Need a secondary number incase of emergencies.
Your answer
Street Address: *
Your answer
City *
Your answer
State
Your answer
Zip Code *
Your answer
Association Fees
The monthly tuition is $140 per month. Membership to this association will allow for two to three, one hour class session each week at the home location located at 860 Stewart Drive, Sunnyvale, CA 94085. The standard costs for supplies, uniforms, equipment and all standard tests will remain the same when applicable.
Do you agree to the fees and terms? *
How would you like to make your form of payment.
Verification
By submitting the above information, you the above named registrant now agree to all the policies, rules, terms and conditions of Pure Taekwondo, LLC. By submitting you also release Pure Taekwnodo, LLC, its owners, instructors, employees (if applicable), affiliates, vendors, distributors, contractors of all liability.
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