Children Kung Fu Enrolment

Children Class Enrolment

Step 1 of 3

Adult Enrolling the Child
Name*
Given Name Surname Preferred Name
Mobile Phone*
Relationship to Child*
Address*
Street Address Address Line 2 City Postal Code
Child's Information
Name of Child*
Given Name Surname Preferred Name
Date of Birth*

Day
Month
Year

Additional Contact People
Name
Given Name Surname Preferred Name
Mobile Phone
Relationship to Child
Name
Given Name Surname Preferred Name
Mobile Phone
Relationship to Child
Name
Given Name Surname Preferred Name
Mobile Phone
Relationship to Child

Terms of Children Kung Fu Class
Please 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.

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