Insurance form
INDIVIDUAL MEMBERSHIP
APPLICATION FORM
Email address *
APPLICATION STATUS *
Membership number (if applicable)
Expiry date
MM
/
DD
/
YYYY
Student Surname *
Student Forename *
Full address *
Post code *
Telephone - home *
Telephone - mobile *
Date of birth *
MM
/
DD
/
YYYY
Gender *
Disability or medical condition (if applicable) *
Nationality *
Current grade *
Grade part 2 - select grade kup/poom/dan *
Date of Last Grading
MM
/
DD
/
YYYY
Examiner name
Informed risk
Check the British Taekwondo website for information on the risks associated to Taekwondo. These risks are continually managed and reduced as much as possible to provide a fun free and safe sporting environment.

https://www.britishtaekwondo.org.uk

https://www.britishtaekwondo.org.uk/wp-content/uploads/2015/03/BT-BOOKLET-7-NEW-STARTER-GUIDELINES.doc

https://www.britishtaekwondo.org.uk/2016/11/can-taekwondo-really-risk-free/
Declaration - I acknowledge that I have been informed of the potential risks of practising Taekwondo. I apply for membership of British Taekwondo and agree to comply with the rules and regulations of the organisation. (Applicants if 18 or over / Parent Guardian if under 18) *
Image and Testimonial Release at Raw Taekwondo Scotland (RawTKD), we produce a wide range of materials to inform people about our Taekwondo club. From time to time we take photographic images (moving and still) of people taking part in activities associated with our organisation and collect testimonials. We make use of these images, content, and associated personal data for the purpose of promoting and marketing RawTKD; this may include printed and electronic publications, video, audio, adverts, press releases, photo galleries, news media, social media, and any other media we might use to promote the club in the future. The copyright of any data and/or information covered by this consent form shall be assigned to RawTKD and will become the property of RawTKD. Embarrassing or distressing images, or inappropriate content, will not be used. Data Protection Statement - GDPRTo comply with the GDPR (General Data Protection Regulation), we need explicit permission to process, store and use any of your personal data for marketing purposes; this includes still images, moving images, audio, and testimonials. Please sign this form to confirm you agree with the conditions of this consent form. Please note that on signing this form you are agreeing to the statement of conditions:That without expectation of compensation or any other remuneration, now or in the future, I give my consent to Raw Taekwondo to use my/my childs image as described above. The information provided in this form will also be used to show Raw Taekwondo Scotland is GDPR compliant if and when requested by the UK government. We will not pass the details recorded on this form on to any other organisation, unless legally obligated, without your explicit permission. Your email address will only be used to contact you about the material you have given the consent for.You can change your mind at any time by contacting us at instructor@rawtaekwondo.co.uk . *
Payment of annual insurance
£30 annual insurance payment must be transferred to bank (new start may have already paid through ashbourne upon joining, no further action required, form still needs to be completed)

Raw Taekwondo Scotland
Sort Code
87-37-31,
Account Number
72952163.
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