Jin's Tae Kwon Do, Inc. and Family Activity Center

Party/Event Reservation Form

Child's Name In Full:

  
 

(First)

(Middle)

(Last)

  

Parents' Name:

    
 

(First)

(Last)

    

Date of Birth:

 //

Age:

Sex:

  M     F  

Home Address:

    

City:

ST:

Zip Code:

  

Phone:

Email:

I acknowledge the existence of some risk of personal injury in participating in course of instruction and play, and that I am assuming this risk without liability to Jin's Tae Kwon Do, Inc. or to instructors and other participants.  I am reserving a spot for Dance or Martial Arts lessons.

Please make checks payable to Jin's Tae Kwon Do, Inc.)

Party/Event Date:

Time:

# Attending:

  

TKD Class:

  Yes     No