Joining Form – Newlands Club Joining Form Please fill out the form, read and agree to the declaration and privacy statements, then press Send Student First Name * Student Last Name Email * Address * +64 New Zealand Phone (numbers only, no spaces or dashes)* Enter DOB dd/mm/yyyy * Gender * M (male) F (female) X (gender diverse) For children, please give name of parents or guardians Any medical condition your instructor should know of? Are there other family members training? * Y N If so – please enter their names Describe any previous martial arts experience here How did you hear about us? Word of Mouth Website Newspaper Radio Poster Leaflet/flyer Demonstration Other DECLARATION I hereby agree to abide by the following conditions: The instructor has the right to withhold tuition from me if I disturb the class in any way. I hold myself responsible for any injury that I may sustain in the course of my training. I agree not to misuse the knowledge gained through the classes. I agree to the terms and conditions of the International Taekwon-Do Foundation of New Zealand Inc*. *Terms and conditions are available on the International Taekwon-Do Website and can be altered at any time without notice: www.itkd.co.nz/terms.php PRIVACY ACT & Unsolicited Electronic Messages Act I give my permission for Spirit Taekwon-Do and the International Taekwon-Do Foundation of New Zealand Inc. to collect, store and use any information provided by me, as well as any information collected about my progress or activities in Taekwon-Do, for its own purposes and business only. I understand that this information will not be disclosed to any other organisations without my prior consent. I recognise the right to view this information and make corrections where appropriate. Spirit Taekwon-Do and ITFNZ may deliver the latest news, special offers, and information about Taekwon-Do and events direct to your inbox. Upon my re-registration to ITFNZ I hereby agree to be subscribed to the ITFNZ email newsletter and to receive email correspondence from ITFNZ as long as I am a member of the organisation. I have read and accept the above conditions * Yes Name of person submitting this form * Send