Student Registration

Student Profile

This information is required for all students. Please complete ALL fields in this section.

First Name *

Surname *

Preferred Name

Date of Birth *

Gender *

Current Rank *

Previous Experience / Recognition of Prior Learning (RPL)

We are happy to provide recognition of prior learning (RPL). If transferring from a different club, organization, or style, please provide details of previous experience including Club/Instructor Details & Grading Dates.

Registration & Contact Details

Registration Type *

Adult Registration

I am registering myself as a student (18+)

Minor Registration

I am registering a child under 18

Adult Contact Information

Street Address *

Suburb *

State *

Post Code *

Email Address *

Mobile Phone *

Emergency Contact & Medical Details

Emergency Contact Name *

Relationship to Student *

Emergency Contact Phone *

Does the student have any medical conditions that the Instructors, first aid or emergency service providers should be aware of? *

YesNo

Do you consent to the Provision of First Aid and or Medical Treatment in case of emergency? *

YesNo

Liability Waiver & Digital Signature

Liability Waiver & Release of Liability

1. Acknowledgment of Risks

I understand and acknowledge that Taekwondo is a full-contact martial art and energetic sport involving strenuous physical exertion, kicks, strikes, throws, sparring, and rigorous physical training. I am fully aware that participation carries inherent risks of injury, including but not limited to:

Minor injuries (scrapes, bruises, muscle strains, sprains, and lacerations)
Major injuries (broken bones, joint dislocations, concussions, and torn ligaments)
Severe or catastrophic injuries (permanent paralysis or accidental death)

I have read and Acknowledge Acknowledgment of Risks *

2. Medical Fitness and Assumption of Risk

I certify that the student is physically fit, in good health, and has no undisclosed medical conditions, injuries, or illnesses that would endanger themselves or others during training. I voluntarily and freely assume all risks, both known and unknown, associated with participation in these club activities, even if arising from the negligence of the releases.

I have read and Acknowledge Medical Fitness & Assumption of Risk *

3. Release of Liability and Indemnity

In consideration of being allowed to train at Kickin'It Taekwondo Inc., I hereby release, waive, acquit, and forever discharge Kickin'It Taekwondo Inc., its owners, instructors, coaches, staff, volunteers, and landlords from any and all liability, claims, demands, or causes of action arising out of any loss, damage, or injury (including death) suffered by the student while participating in classes, seminars, grading events, or competitions, whether caused by negligence or otherwise.

I have read and Acknowledge Release of Liability & Indemnity *

📸 Photo & Video Consent Policy

Public & Shared Spaces: I acknowledge that club activities, tournaments, and gradings often take place in public, open, or hired community venues. The club cannot control photography or filming undertaken by members of the public, spectators, or third parties in these spaces.
Club-Published Media: The club will only use photos or video footage of students for official promotion, website content, and club social media pages.
Removal of Content: If you request removal, the club will fully comply if it is a single-subject image of the student. However, for group images or team videos, the club cannot guarantee or execute removal once published.

I grant permission for the club to publish individual and group media of the student.I request that the club DOES NOT publish individual photos of the student.

Digital Signature (Legal Name) *

Parents/guardians please type your name to sign on behalf of a minor student.

Today's Date

Registration Received!