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About
Free Trial
Classes
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UTA Enrolement

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Home
About
Free Trial
Classes
News
Students

Home
About
Free Trial
Classes
News
Students

UTA Enrolement

Home / UTA Enrolement

UTA Enrolment Form

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UTA Official Registration
Class Selection*
Adult or Child Registration*
Student Information
Students Name*
First Last
Parents Name
First Last
(if under 18yrs)
Email*
Nationality*
Gender*
Date of Birth (student NOT parent)*
Contact Number*

Registered Address
House Name / Number*
Street*
Village / Town*
Post Code*

More Information
Past Martial Arts Experience (if any)
How did you find out about our Club?
Have you ever been convicted of a criminal offence?*
- No
- Yes
Criminal Offence Declaration

Health Information
Please tick any conditions you have
- Heart Disorder
- Haemophilia
- Asthma
- Hayfever
- Migraine
- Diabetes
- Nervous Disorder
- Epilepsy
- Autistic
- Other Condition (if relevant to your training)
Other Conditions
Under the Equality Act 2010 disability is described as a physical or mental impairment that has substantial and long-term negative effect on a person’s ability to do normal daily activities. Do you consider yourself/your child to have a disability that we should be aware of?
- Yes
- No
Other Condition (explained)
Emergency Contact*
First Last
Phone number of emergency contact*

Agreements & Terms
Your Agreement*
I agree to abide by the rules and regulations of the BTC/UKITF/UTA
I understand that you collect and hold GDPR sensitive Data, essential medical information in order to conduct risk assessments and monitor the wellbeing of participants. By signing I give consent for this information to be stored. You can view our GDPR Statement and Privacy Policy here.
Medical Treatment*
I consent to basic medical treatment
If we have agreed with you in advance, that we can administer medicine IF required (e.g hayfever, asthma inhaler), please give us consent here
Photography*
- I DO give consent
- I DO NOT give consent
(Parent / Guardian if under 18yrs). I am aware that photographs will be taken during the Taekwon-Do training/events for promotional purposes, and give consent for my child to feature in such photos
Club Mailing List*
- Yes, Add to Club Mailing List
- No, I understand I will miss important information
I wish to sign up to the club mailing. I understand that this will only be used for the purposes of TaeKwon-Do. I understand that if I do not want to sign up I will miss important information about my/my child’s training
Signature*
Please use your finger or mouse to sign this application
Comments
This field is for validation purposes and should be left unchanged.

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