Kwon's Champion School

Number: Date:

Last Name: First Name: M.I.:

Sex: Female Male

Address

Street: City: State: Zip:

Phone No.:

Date of Birth: Occupation:

Name of parents, it enrollee is a minor: Phone No.:

1. The undersigned hereby enrolls myself my son my daughter for a course of regular private lessons.
2. The undersigned, for the purpose of enjoying the benefits of instructions, agrees to the below conditions and agrees to pay tuition in the following manner:
   • Month-by-Month Payments
3. Duly enrolled students whose tuition is paid will be permitted:
   • To participate in promotion tests held by this institute or assocition.
   • To participate as an assigned representative of the institute in such functions or activities in the field of Karate in which this institute may be a participant.
4. It is understood and agreed that any tuition should not be returned to students because of any reasons.
5. I willingly agree to obey your instructions in all ways, and it is understood and agreed that this institute shall not be liable for any damages or injuries arising from lessons and/or activities which are a part of this institute.

I, the undersigned, upon being permitted to join your institute, will obey the rules and endeavor to conduct myself in a manner of a student in my daily life and in class, and will never do anything to bring disgrace upon the institute.

I hereby Swear that I will faithfully fulfill my duty.

Student Signature:

Parent Signature (if Student is a minor):