Shadelands Sportsmall 2650 Shadelands Dr., Ste. F Walnut Creek, CA 94598
925-938-5300
info@spartatkd.com
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Home
About Us
Programs
Student Resources
Sign Up Form
Belt Testing Information
Form Videos
Study Materials
Belt Testing Questions
Schedule
Events Calendar
Contact Us
Birthday Party Inquiry
Inquire Now
Home
About Us
Programs
Student Resources
Sign Up Form
Belt Testing Information
Form Videos
Study Materials
Belt Testing Questions
Schedule
Events Calendar
Contact Us
Birthday Party Inquiry
Inquire Now
Home
About Us
Programs
Student Resources
Sign Up Form
Belt Testing Information
Form Videos
Study Materials
Belt Testing Questions
Schedule
Events Calendar
Contact Us
Birthday Party Inquiry
Inquire Now
SPARTA TAE KWON DO
New Student Info Card
PERSONAL INFORMATION
Last name
First name
Middle Initial
Date of Birth
Age
Gender
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Male
Female
Address
City
State
Zip
Email Address
Occupation
Work/School
Day Time Phone
Evening Time Phone
May we contact you via email?
Yes
No
Have you had any martial arts training?
Yes
No
If yes, what style
How did you hear about SPARTA?
Newspaper ad
Just passing by
Phone book
Direct mail
Website
Referred by
What are your reasons for learning Tae Kwon Do?
Self Defense
Physical Fitness
Sport
Discipline / Respect/ Martial Art Values
Weight Loss
Other
If other, please input
List other physical activity
MEDICAL CONDITION
Do you have any medical condition that may affect your training that we should know about?
OTHER QUESTIONS
Can you attend class at least twice a week?
Yes
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Do you have plans of moving within a year?
Yes
No
Are you in good physical condition to participate in martial arts training?
Yes
No
Father/Mother’s Name
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