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©Copyright all rights reserved. Made by Senior Master O’Neill VIII Dan 2014
©Copyright and all rights reserved Grand Master O’Neill 2016

I hereby GIVE          DO NOT GIVE        Consent for my child to be photographed/filmed during part of his or her Taekwon-Do training, in which on occasions these photos/videos maybe publicised on email/websites.

Have you ANY MEDICAL conditions that may effect your training?                YES              NO

IF Yes please inform Instructor in order that he can be aware of teaching needs

What Year

PREVIOUS MARTIAL ARTS
CHILD PROTECTION AUTHORISATION

Signature

Date:

Forename

Height in CMS for Do-Bok

Grade Obtained

Legislation prevents the unauthorised Photography and video of Children under the age of 13yrs:

Surname

Address

Town

County

Postcode

Home Telephone

Mobile

Work Telephone

E-mail Address

Occupation

Age

Date of Birth

Nationality

Date of Commencement

Married/Single

Martial Art Style

Have you any qualifications in Taekwon-Do or any other Martial arts ?

Last Trained:

MEDICAL CONDITIONS

Shoe Size & Colour for Sparring Pads if Option Purchased

Size
Red or Blue

Instructor:

CONDITIONS OF MEMBERSHIP : Consent to Risk

I have watched the Art being taught and I understand that there may be some risks in learning Taekwon-Do. I acknowledge that I must always be responsible for safeguarding my own well being and will therefore never attempt any practices or techniques that I do not fully understand.

I confirm that I must always tell my Instructor of any illness or other conditions that may affect the training or well being of myself or any other person and that currently there are no reasons why I cannot learn Taekwon-Do.

I agree to comply with all of the Rules and Regulations of A.C.E. Taekwon-Do if I am accepted as a member and as a condition of acceptance I agree not to hold A.C.E. Taekwon-Do, Stonehenge Taekwon-Do School or any of their Instructors or students liable for any injury that I may sustain whilst practising the Art.


I agree to the above statement YES/NO

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