Membership | Branch Registration

Membership Information

First
Last
Gender
Address
Street Address
Apt./Building/Suite #
City
State/Province
Zip/Postal
Country
Payment Method
Bank Withdrawal Authorization
I/We hereby authorize Jeon Eui Taekwondo to direct my Financial Institution to debit my/our bank account, on file for $157.50 for the tuition fees for the term from January 16, 2022 to March 27, 2022 at Marine Drive Branch.
If any payment is returned by the Bank for any reason, I/we will be responsible for Non-Sufficient Funds (NSF) and/or administration charges.
I/We, the undersigned, have read, understood, and agree to the terms and conditions of this agreement.

Emergency Contact Information

Emergency Contact Name
Emergency Contact Name
First
Last

Membership Policy

Please note that there is a no refund policy after you have submitted your registration. Spots for the class are limited and registration is done by a first come first serve basis. Registration is confirmed upon submission of your online registration form.

Payment Total