carousel_arrow cart circleCheck contrast_arrow behance dribbble dropbox facebook flickr github googleplus instagram linkedin paypal pinterest skype soundcloud spotify twitter vimeo submitError svg-defsnull St. John Community Development Corp, Inc. HomeHome KOH TaeKwonDo Registration Student Name*Address*City, State, Zip*Mother's Name*Mother's Cell #*Mother's Work #Father's NameFather's Cell #Father's Work #Email Address*How did you hear about us?*Does your child have any previous Martial Arts experience? *If yes, please describe how long, what type and where?YESNOMedical conditions we should be aware of: Does your doctor consent to join TaeKwonDo?*YESNOI DON'T KNOWEmergency Contact - if parents cannot be reached:*Name / Telephone # / RelationshipElectronic Signature:*Authorization for emergency Medical care in the event of illness or accident if parent/guardian cannot be reached. An original signature is required before or upon 1st day of training. Signature of parents or Legal guardian:SUBMITThank you! Your message was sent successfully.
