JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
YMATC Membership & Registration Information
Please fill out required fields, read entirely and click submit if you agree to the terms outlined. We look forward to working with you!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student's LAST Name
*
Your answer
Student's FIRST Name
*
Your answer
Student's MIDDLE Name(s)
Your answer
Best Phone Number
*
Your answer
Gender
*
Male
Female
Non-Binary
Age
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Grade in School
*
Choose
Pre-K
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Post Secondary Student
N/A
Complete Mailing Address (#, Street, city, prov, postal code)
*
Your answer
Parent/Guardian Name (First and Last)
*
Your answer
Relationship to Student
*
Choose
Father
Mother
Grandparent
Guardian
Other
Emergency Contact OTHER THAN PARENT (name & phone)
*
Your answer
Which program(s) is this student trying for free? OR Training in (Check all that may apply)
*
Weapons (Mugido16+)
Self Defense (ages 13+)
Kung Fu (ages 8+)
Little Ninjas (ages 3-5)
Kickboxing - Youth(7-11)/ Adult(12+)
Brazilian Jiu-Jitsu - Youth (7-11)/ Adult (12+)
TaeKwon-Do Jr.(5-8)/ Youth (9-13)/ Adult (14+)
Karate Youth(5-13)/ Adult (14+)/ Advanced (Green to Grey belt)
Required
Medical/ Physical Info Pertinent to Training (Asthma, Hemophilia, allergies, ADHD, Autism, Palsy, previous injuries, previous surgeries, etc. OR N/A)
*
Your answer
How did you hear about YMATC? (Social media, refer a friend, etc)
*
Your answer
Indigenous Self Declaration
*
Indigenous
Non Indigenous
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
