CALL US TODAY 919-491-4182

Minor Student Registration Form

Minor Student Registration Form

Student Information:

Parent(s) or Guardian(s) Name (Emergency Contact Information):

Preferred way to be contacted:
Contact Mode
Any previous experience in the martial arts?
Experience in marital arts
Does the student have physical or mental health issues?
physical or medical problems

Safety is the most important aspect of our class. It is the responsibility of each student as well as instructors to uphold safety. Although safety is our number one priority, accidents and injuries may still occur. Please sign and date this document and return it to us before entering your first scheduled class. Read it very carefully before you sign. By signing this document, you agree to accept the risk involved in martial arts training and the following:

In the event of an accident involving me (or my minor child) I hold myself (or my minor child) responsible and not my instructors, fellow students, property owners or the staff of Karate USA. I will not hold anyone responsible, not now, or anytime in the future due to accidents or injuries incurred on or off this property, during training of any kind related to Karate USA or any affiliates of the Independent Tang Soo Do Association.

Call us 24/7
+1-202-555-0140
2538 US 70
Mebane, NC 27302
Working Hours
daily: 10am - 8pm
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Karate USA specializes in Tang Soo Do located in Hillsbourgh, North Carolina and offers Kids, Adult and Women’s Self Defense Classes.

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