Kids Registration

AN Kids Camp - Kids Registration

- Open to any Auckland North International Taekwon-Do Member between 5-14 years of age
- Under 8's need a parent or guardian to attend with them please - use the separate Parent/Guardian form to register parents/guardians
- Day Stays available - 8-4pm Saturday only
- Places are limited, and taken in order of receipt of a completed application and payment.

Please fill in a separate form for each child

* Indicates required field

Child's Name *

First

Last

Membership Number (if you don't know it, ask your instructor): *

Club: *

Date of Birth (DD/MM/YY): *

Gender: *

Male Female

Current syllabus: *

TKD Kubz Mini Kids Kids (Colour Belt)

Gup/Belt Colour: *

Stay Type: *

Full Stay Saturday Day Stay

Medical/Other Info - please provide details of any medical condition OR behavioural issues the camp organisers need to be aware of for your child. E.g. any food allergies, regular medications, special needs etc. *

Contact Information

Parent/Guardian Name: *

First

Last

Phone (Day): *

Email Address: *

Phone (Emergency): *

Payment Information
Cost: $60 for first child
$50 for second child
$40 for third child
$20 for parent helpers on full stay
$20 for day stay which includes breaking boards (Saturday only)

Payment Methods
Please pay online to:

ITFNZ Taekwon-Do Auckland North INc
12-3136-0225528-00
Reference: "AN Kids Camp" and your surname

Payment Method: *

Bank Deposit

THIS FORM WILL ONLY SUBMIT IF YOU HAVE FILLED OUT EVERY REQUIRED FIELD. PLEASE DOUBLE CHECK THE FORM BEFORE PRESSING SUBMIT. YOU WILL BE TAKEN TO A NEW PAGE CONFIRMING THE FORM HAS BEEN SENT IF THE FORM HAS BEEN FILLED OUT AND SUBMITTED CORRECTLY.

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