Joining form

Skip to content

XTREME MARTIAL ARTS ACADEMY

Main Menu

About Us
- Our Instructors
- Our Seniors
Why Taekwon-Do?
- For Whom?
Classes
- Adults Class
- Peewee Class
How to Join
Members
- News
- Resources
Contact

Menu

Joining Form

Join yourself or your child for Taekwon-Do

(Please complete a separate form for each person joining)

Please select the class you'd like to join:

Have you already been along to our club?

Details of the person joining

First Name

Last Name

Gender

Male Female

Age

Date of Birth

Address

Postcode

Occupation

Email

Mobile

Medical Issues?

Friends or family?

What would you like to achieve?

Joining fee is $70 (individual) or $130 (family). We will send you an invoice once we receive this form.

Contact details of person starting, or parent if under 18:

Parent's Name

Your Occupation

For Parents

Were we easy to find online?

Yes No

Keywords

How did you hear about us?

Word of mouth Internet Search This Website ITKD National Website (itkd.co.nz) Social Media Other

Terms & Conditions

I have read and accept the TERMS & CONDITIONS on behalf of myself or any children in my care.

Xtreme Martial Arts Pukekohe. Phone / Txt 021 0794 265

Main Menu

About Us
- Our Instructors
- Our Seniors
Why Taekwon-Do?
- For Whom?
Classes
- Adults Class
- Peewee Class
How to Join
Members
- News
- Resources
Contact

Phone / Txt 021 079 4265