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, including any food allergies, medication being brought to the camp, 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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