Current student registration – Kiffmann's Maui Elite Taekwondo

Aloha Students,

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First Name *

Last Name *

Email Address *

Username (lowercase alphanumeric) *

Password (type this twice please) *

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Additional Info

Student Name (if same as registrant type "same") *

Student Date Of Birth *

Student Gender *

Street Address *

State *

Zip Code *

Country *

phone *

Guardian name (if student is over 18 type N/A) *

Guardian Phone *

Insurance Carrier *

Are you (STUDENT) taking ANY medication or have any health concerns that could hinder your performance? *

If so, please specify (Due to our studio's high level of physical activity, disclosure of health information is mandatory.) *

How did you hear about us

What is your primary martial art goal at our studio? *

Have you practiced any martial arts previously? *

If so please specify style, rank achieved and number of years

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