This Page Must Be Returned To S.K. Lee's TaeKwonDo Academy

Child Name : __________________ School : ________________

Parents Name :                     Phone :                  

Grade : ____________ Teachers Name : _____________________________

Deposit: A $50.00 non-refundable deposit is required per child to register

and to guarentee your spot in our program. The deposit must be dated for the

date of registration.

Payment of $75 per week : cheques or debit card is required during registration

                            Pick-up included (mon~fri)

I/we hereby acknowledge that I/we have read the parent handbook completely

and understand that by signing this form that I agree to and understand the

policies as outlined in the program. Also, I/we have completed and returned all

of the following information: (please check)

__ $50.00 non-refundable deposit per child/ registration fee

__ Child registration form

__ Copy of child’s immunization record (most recent)

__ Emergency release form

__ $50 Taekwondo uniform fee

__ TKD NB form

__ Recent photo of child

I/we understand that my child(ren)’s picture may be taken by staff and or news

media and further give my/our permission to use any pictures in future

advertising or promotions.

Parent’s Signature

Parent’s Signature                                    Date