Student's Information

Please answer the items below:

Are you in good health and with no physical problems? Yes No

Could you take your lessons and average of 2-3 times per week? Yes No

Are you willing to set goals to develop your mental discipline and physical fitness? Yes No

How did you find out about olympic star taekwondo center? Friends/Relatives Doctor Yellow Pages Walking by Newspaper Ad Tv Radio Direct Mail Gift Certificate Flyers Others

PAYMENTS Cash Zelle I understand that there will be absolutely no refunds for this course. I hereby submit my application to the Olympic Star Taekwondo Center program. I understand the physical contact between myself and others will at various times be required in the insturction, demostration, and performance of Taekwondo during the course.
I agree to waive claim against any person connection with Olympic Star Taekwondo Center for injuries I may sustain. I likewise assume full responsiblity for all my actions in connection with the program. I further understand that any pictures of me participating in the course may be used for publicity without compensation.