carousel_arrow cart circleCheck 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. HomeAboutChevronCDC Board of DirectorsSt. John CDC ProgramsChevronS.A.Y. VocationalConnectChevronPartnersResourcesTaeKwonDo GalleryChevronTaeKwon Do RegistrationBuilding ProjectContactHomeAboutChevronCDC Board of DirectorsSt. John CDC ProgramsChevronS.A.Y. VocationalConnectChevronPartnersResourcesTaeKwonDo GalleryChevronTaeKwon Do RegistrationBuilding ProjectContact 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.
