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The Wing Chun School Application Form
Ilford Branch, Frenford Clubs.
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* Indicates required question
Email
*
Your email
Full name:
*
Your answer
Parent/Guardian's name if under 16:
Your answer
Date of birth:
*
MM
/
DD
/
YYYY
Address:
*
Your answer
Mobile:
*
You must have WhatsApp.
Your answer
Emergency Contact Number:
*
Your answer
Do you have any medical conditions that we need to be aware of?
*
Yes
No
Required
If 'YES', please state:
*
Type 'NONE' if No.
Your answer
Name and address of GP:
Your answer
TWCS is heavily involved with social media (FaceBook, Whatsapp, Instagram, YouTube). We take regular pictures/video recordings during classes. If you wish NOT to participate then please tick box.
I DO NOT GIVE CONSENT.
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