Registration Form

Use this form to register for our Martial Arts Programs, Camps, or Seminars.

Choose the program(s) you wish to register for:

Tai Chi Chuan
Kung Fu
Chi Kung
Kung Fu for Kids
Seniors
Meditation
Seminar
Kung Fu Camp
Tai Chi Camp
Women's Wellness Weekend

Please indicate Seminar Title:

Program location:*

1018 Moot Rd. Hwy 117EBracebridge A.M.Bracebridge P. M.GravenhurstHuntsvillePort Carling

Name:*

Address including postal code:*

Telephone:*

Email Address*

Birthdate:

Health

Please indicate your general health or any health concerns you may have:

Name of emergency contact:*

Relationship:*

Telephone:*

Miscellaneous

Previous Martial Arts or fitness experience?

What do you hope to gain from this program?*

How did you find out about Temple Knights?*

Occupation?

Are you interested in the spirtual aspect of our program? If yes, what is your faith?

Would you like to receive our monthly email newsletter?

Waiver:

By submitting this registration form I certify that the above information is correct. As a participant I acknowledge that Temple Knights and their representatives shall in no form be liable or responsible for injury or bodily harm occurring to me during classes and that such risks shall be borne by myself voluntarily. Our policy after registration is no refunds. Make up classes, credit for unused classes or credit transfers are possible. Signature or signature of guardian will be required. Thank you.