Chon-Ji Defensive Arts New Student Registration | Martial Arts Classes | Combat Hapkido | Troy, NY | Albany, NY | Rensselaer, NY

New Student Registration

* = required

Form to be completed by student and/or parent/guardian (if under 21 years old)

Student Fee: Only $100/month for 8 classes per month or $60/month for 4 classes per month.
(Students and family members of Troy Taekwondo have a special rate at $60/month for 8 classes per month)

Please complete the following form

Student Information:

Are you a member of the ICHF?

Yes

ICHF Membership Exp Date (if a current member of the ICHF)

A valid ICHF Membership Card is required.

Are you a current student at Troy Taekwondo?

Yes

* First Name

* Last Name

* Email Address

School/Occupation

* Address

* City

* State

* Zip

* Home Phone

Cell Phone

* Birthdate

Billing/Emergency Contact:

* Preferred Payment Schedule

Monthly

Quarterly (Every 3 Months)

Every 6 Months (save 10%)

Annually (save 20%)

* Billing or Parent/Guardian Name

* Emergency Contact

* Emergency Phone

Comments

If you have prior martial arts experience and/or any health issues we should be aware of, please describe in the comments box above.