E-mail: [email protected] TAEKWON TAEKWON TAEKWON TAEKWON-DO DO DO DO Paul Cutler Paul Cutler Paul Cutler Academy Application Form Please complete all of the information requested as it provides the opportunity to update members contact information. First Name: Family Name: D.O.B. (dd/mm/yyyy) Age: Gender: Male / Female Address: Post Code: STD Phone: Mobile: E-mail: The seminars must be recorded in your membership booklet. Please return no later than one week before the seminar ( ). Please ensure to use Student name + Seminar as the reference with the transfer. I am 18 years of age or I am the legal guardian of the above named person and I understand that submitting this form electronically acts equally as a consent signature. Name / Signature: Date: I enclose my membership booklet and the relevant fee with the application. Cheques made payable to Paul Cutler. Or Submit by email with electronic bank transfer. Sort Code: 09-01-34 Account. Number. 40610281 Tenets of Taekwon-Do: Courtesy – Integrity – Perseverance – Self Control – Indomitable Spirit Grand Master Paul Cutler IX Dan. Phone 07828 197327 Paul Cutler A.C.E TKD Northern Ireland Area Seminar A.C.E Membership Number: Current Grade: This seminar is one of two annual seminars which you are required to attend in order to grade regularly at club level and in order to promote to Black Belt under the A.C.E system. Members Children £30 (12yrs and under) Teen/Adult £30 Non Members Children £35 (12yrs and under) Teen/Adult £35 . The Seminar is for 3 hours including certificate presentaion and the opportunity for personal photographs

Application Form - Paul Cutler Taekwon-Do Academy · Application Form Please complete all of the information requested as it provides the opportunity to update members contact information

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Page 1: Application Form - Paul Cutler Taekwon-Do Academy · Application Form Please complete all of the information requested as it provides the opportunity to update members contact information

E-mail: [email protected]

TAEKWONTAEKWONTAEKWONTAEKWON----DODODODO Paul CutlerPaul CutlerPaul Cutler

Academy

Application Form

Please complete all of the information requested as it provides the opportunity to update members contact information.

First Name: Family Name:

D.O.B. (dd/mm/yyyy) Age: Gender: Male / Female

Address:

Post Code:

STD Phone: Mobile:

E-mail:

The seminars must be recorded in your membership booklet.

Please return no later than one week before the seminar ( ).

Please ensure to use Student name + Seminar as the reference with the transfer. I am 18 years of age or I am the legal guardian of the above named person and I understand that submitting

this form electronically acts equally as a consent signature.

Name / Signature: Date:

I enclose my membership booklet and the relevant fee with the application.

Cheques made payable to Paul Cutler. Or Submit by email with electronic bank transfer. Sort Code: 09-01-34 Account. Number. 40610281

Tenets of Taekwon-Do: Courtesy – Integrity – Perseverance – Self Control – Indomitable Spirit

Grand Master Paul Cutler IX Dan. Phone 07828 197327

Paul Cutler

A.C.E TKD Northern Ireland Area Seminar

A.C.E Membership Number: Current Grade:

This seminar is one of two annual seminars which you are required to attend in order to grade regularly at club level and in order to promote to Black Belt under the A.C.E system.

Members Children £30 (12yrs and under) Teen/Adult £30 Non Members Children £35 (12yrs and under) Teen/Adult £35

.The Seminar is for 3 hours including certificate presentaion and the opportunity for personal photographs