MTG Membership Registration Form

Fighting Fit Gym cc t/a MTG (Magua Taekwon-Do Group) Central

MTG Membership Registration Form
MTG Club *
MTG Class *
Name (of Member) *

First Name Last Name
Photo of Member

Browse Files

Cancel of
Date of Birth *

Day Month Year
Date
ID #/ Passport #
Email *
example@example.com
Cell Number *

Area Code Phone Number
Address

Line 1

Line 2

Suburb

Postal Code
Payment Method *
NB. Please complete Debit Order form if this Pmt Method is selected, using this link:

Debit Order Form

Reminder to also please complete & submit this registration form before completing the debit order form.
in case of Emergency
Medical Conditions
Emergency Contact Person *
Emergency Cell *
Your Relationship *
Medical Aid Company (NB if have)
Medical Aid Number
How did you hear about us? *
if other, please specify *
1st Class/ Lesson Date *

Day Month Year
Should be Empty: