Taekwondo Form

Full name ^*

Talent's Civil ID / Residency Number ^*

Talent's date of birth ^*

Mobile ^*

Mother's ID number

Current school name ^*

What is the sports club or sports academy?

Does the talent have a heart problem? ^*

Yes

No

Has the talent ever had chest pains caused by physical exertion? ^*

Yes

No

Does the talent have high or low blood pressure? ^*

Yes

No

Does the talent have a skeletal, back, or muscular problem that may be aggravated by exercise? ^*

Yes

No

Does the talent suffer from asthma or allergies? ^*

Yes

No

Does the talent suffer from epilepsy? ^*

Yes

No

Does the talent suffer from diabetes? ^*

Yes

No

please provide a doctor’s certificate stating that your talent is fit to exercise.

Promise ^*

I hereby confirm that my child, as stated above, does not suffer from any health problems or additional reasons of any kind, which could contribute to a physical breakdown or any other physical ailment whilst participating in Scouting events and related activities.

Agreements ^*

Yes I agree to the Terms & Conditions

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