Hauthís Family Taekwondo Center†† est. 1988†††††† WindsorCA.

Enrollment Application

 

Applicantís Name: ________________________________________________

Parentís Name (If Minor): __________________________________________

Mailing Address:______________________City __________ Zip _________

Telephone # _____________2nd # ____________Birthday ___________

 

Email Address: _____________________5 Weeks _____ 10 Weeks _____

 

Any previous Martial Arts Training?______If yes,please indicate which style of Martial Art,what Belt Rank you earned and are you actively training in that style. _______________________________________________________

________________________________________________________________________________________________________________________________

 

Why do you wish to Learn Taekwondo?

1. Self Defense††††† †††††††††† _______

2. Physical Fitness†††††††††† _______

3. Self Discipline†† †††††††††† _______

4. Family Activity†††††††††† _______

5. Self Confidence†††††††††† _______

6. Idle Curiosity†††† †††††††††† _______

7. Other ________________________________________________________

 

Does the Applicant have any physical or learning limitations that the Instructors should be aware.(confidential) ______________________________________

________________________________________________________________________________________________________________________________________________________________________________________________

 

How did you hear about us?

 

Signage _____Flyer or Ad _____ Walk by _____ Referral _____ by ________

 

 

 

Signature __________________________††† Date __________

Signature - Parent or Guardian in Applicant is under 18 yrs. Old ________________________