Parent Name *

First Name

Last Name

Child's Name *

First Name

Last Name

Emergency Contact *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child's DOB *

MM

DD

YYYY

By checking the box below, I authorize Forest Hill Taekwondo to charge my selected program to my credit card stored on file. *

I authorize my credit card on file to be charged to my selected program

As the legal parent or guardian, I release and hold harmless Forest Hill Taekwondo, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, illness, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of Forest Hill Taekwondo, its owners and operators or in route to or from any of said premises. *

I agree and understand