International TKD Center

	\|Registration\| \|Register Belt Test\|
	Belt Level (Current Level): ID Number: Testing Date:
	First Name: Last Name:
	Address:
	City: State: Zip: Phone Number:
	Weight: Height:
	The International TaeKwonDo Center Inc. reserves the rights to suspend or dismiss any student at any time for misconduct and/or misrepresentation of the Center. I , the undersigned student, by execution of this application for enrollment hereby represent that the above information is correct and that I am in good health and can participate in strenuous physical activities.