The Wing Chun School Application Form
Peckham Branch
Full name: *
Parent/Guardian's name if under 16:
Date of birth: *
MM
/
DD
/
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Address: *
Mobile: *
You must have WhatsApp.
Email: *
Emergency contact number: *
Do you have any medical conditions that we need to be aware of? *
Required
If 'YES', please state: *
Type 'NONE' if No.
Name and address of GP:
TWCS is heavily involved with social media (FaceBook, Whatsapp, Instagram, YouTube). We take regular pictures/video recordings during classes. If you wish NOT to participate then please tick box.
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