Children Kung Fu Enrolment Children Class Enrolment Step 1 of 3 33% Adult Enrolling the ChildName* Given Name Surname Preferred Name Mobile Phone*Relationship to Child*Please SelectParentLegal guardianRelativeOtherAddress* Street Address Address Line 2 City Postal Code Child's InformationName of Child* Given Name Surname Preferred Name Date of Birth* DD MM YYYY Additional Contact PeopleName Given Name Surname Preferred Name Mobile PhoneRelationship to ChildPlease selectParent / legal guardianAuthorised person for pick up or drop offName Given Name Surname Preferred Name Mobile PhoneRelationship to ChildPlease SelectParent / legal guardianAuthorised person for pick up or drop offName Given Name Surname Preferred Name Mobile PhoneRelationship to ChildPlease SelectParent / legal guardianAuthorised person for pick up or drop off Terms of Children Kung Fu ClassPlease tick the boxes below to indicate your full agreement* WTA will provide 100% refund of the term fee if the term is cancelled by WTA. Refund will not be provided if your child is unable to attend for any reason. The class requires a basic level of fitness. If your child has any physical complaints or you have doubt about its suitability for the class, you should consult your physician before it attends any class. You are responsible to ensure that your child is mentally and physically fit for class. You understand that WTA instructors will try, but cannot and do not guarantee to consider your child's individual condition, even if brought to our attention. I will not take photos, videos or otherwise record or stream audio or video data of any WTA Instructor. I will not reference in media files, within media or associated text the names of other children participant in Children Kung Fu. I allow for WTA to publish on its web representation media recording that include my child. I confirm that I understand all of the above terms and conditions, and agree to be fully bound by them.