Membership Membership Form Please fill out and complete this form to renew your membership. If the applicant is under 18, it requires completion by a parent or guardian. Name of applicant * First Name Last Name Date of Birth * MM DD YYYY Age of applicant * Gender * Male Female Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * Country (###) ### #### Parent or Guardian's Name If you are applying for a child under 18 First Name Last Name Phone * Parent or Guardian's Number Country (###) ### #### Current Grade * if you are a beginner, please select White Belt. if you are a Black Belt, please provide us with your Kukkiwon number below White Belt White Belt - Yellow Tag (Any Tag) Yellow Belt Yelow Belt - Orange Tag Orange Belt Orange Belt - Green Tag Green Belt Green Belt - Blue Tag Blue Belt Blue Belt - Red Tag Red Belt Red Belt - Black Tag Black Belt (Any Dan) Kukkiwon Dan Grade No. Black Belts only. Occupation * Nationality * Ethnic Origin * eg; mixed/other Any medical conditions or injuries? * (including special or additional needs) No Yes Please describe your condition here eg; I have asthma... Training Days * please choose the days you prefer for training, and feel free to switch classes or alter your price plan with a notice period of two weeks Mon & Thus - St. Oswalds Church Wed & Fri - Nuffield Gym Unlimited Classes Monday Only - St. Oswalds Church Wednesday Only - Nuffield Gym Thursday Only (Adults) - St. Oswalds Church After School Taekwondo Clubs I commit to showing respect to myself, fellow students, and instructors. I will strive to attentively listen and learn from my instructors, leaders, and fellow students. I pledge to practice Taekwondo in my personal time, ensuring it is done safely without endangering myself or those around me. I acknowledge that Taekwondo is a means of sports & self-defence and I will refrain from using it to exploit or harm others. * I Agree Public Notice: Tsunami Taekwondo will capture photographs and videos during most events and sessions. Tsunami Taekwondo (TT) reserves the right to utilize any photograph or video taken at any event without obtaining express written consent from those featured in the content. These materials may be used in various publications or media produced, used, or contracted by TT, including but not limited to brochures, magazines, television, websites, and social media. To safeguard the privacy of individuals and children, images will not be associated with full names or personal identifying information without written approval from the photographed subject, parent, or legal guardian. Individuals attending a TT event who prefer not to have their image recorded for distribution should communicate their wishes to the photographer, event organizers, or contact an Instructor before the event. TT may use photos for identification purposes and will treat them confidentially. By participating in a TT event or failing to notify TT in writing of the desire not to have one's photograph used, individuals agree to release, defend, hold harmless, and indemnify TT from any claims related to the use of their picture or likeness. Any unauthorized use, copying, alteration, or modification of TT photographs, graphics, videography, or similar reproductions or recordings by individuals or organizations not affiliated with TT is strictly prohibited without the advance written permission of an authorized instructor from TT. * I Agree Application Type * Please choose the application type you require. Child Adult Membership Status * Please select an option New Renewal Name of person signing the agreement * First Name Last Name Relationship to the applicant * If you are signing this form on behalf of the applicant, state your relationship to the applicant NOTE: If applicant, over 18 yrs old, is completing this form, select 'APPLICANT' here: Applicant Mother Father Guardian Date MM DD YYYY Payment Type * All Memberships include: 1 Year Membership 1 Year Insurance 1 Year Affiliation with British Taekwondo Bank Transfer Cash or Card Via Website (Below) Thank you! CHILD - NEW MEMBERSHIP £85.00 Quantity: Purchase CHILD - RENEWAL MEMEBERSHIP £75.00 Quantity: Purchase ADULT - NEW MEMBERSHIP £95.00 Quantity: Purchase ADULT - RENEWAL MEMBERSHIP £85.00 Quantity: Purchase