top of page
Home
About
Schedule
Programs
Taekwondo
After School
Summer Camp
Contact
More
Use tab to navigate through the menu items.
Phone
Mail
770-334-3685
WTECARTERSVILLE@GMAIL.COM
Free Class
Summer Camp Registration Form
Student Information
Student's First Name
Student's Age
Student's Last Name
Birthday
Would you like to add additional students?
*
Yes, add more students
No, enroll only one student
Street Address
State
List all additional students, and their birth dates.
City
Postal / Zip code
Guardian Information
Parent/ Guardian 1 Name
Parent/ Guardian 1 Mobile #
Parent/ Guardian 2 Name
Parent/ Guardian 2 Mobile #
Parent/ Guardian 1 Email
Parent/ Guardian 1 Work #
Parent/ Guardian 2 Email
Parent/ Guardian 2 Work #
Who else is authorized to pick up your child (aside from parents/guardians)?
Contact First Name
Contact First Name
Phone
Phone
Relationship to Student
Relationship to Student
Which sessions do you plan to enroll your student in ?
week 1:
week 2
week 3
week 4
week 5
week 6
week 7
week 8
week 9
week 10
I hereby certify that my child is in average health and capable of participating in the World Peace Taekwondo Camp
*
YES
NO
Please list below any medical conditions that may affect your child while attending camp or participating in a field trip undertaken by World Peace Taekwondo (Include allergies, if any).
I agree to the terms & conditions
View terms of use
Next Step
bottom of page