Name and Surname

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Height

Weight

Occupation

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Spoken Languages Spoken Languages Polish English French Italian German Spanish Others

Have you ever done Martial Art before? If yes, which Martial Art and for how long?

What are you looking for in a Hwa Rang Do Class? * What are you looking for in a Hwa Rang Do Class? * Physical Fitness Self-Confidence Strenght to say "NO" Self-Defense Respect For Others Coordination Goal Completion Greater Energy Self-Esteem Recreation Conquer the World Stress Management Self-Discipline Competition Empowerment Weight Control Self-Control Meet New Friends Flexibility Fun Others

Do you have any physical limitations we should be aware of ? * Do you have any physical limitations we should be aware of ? *YesNo

If yes, please specify:

Do you have significant information to share?

How did you hear about us? * How did you hear about us? *FacebookInstagramTwitterYoutubewww.hwarangdo.plFriendsOther

If you selected Friends, please give us his/her name:

In Case of Emergency Notify:

Select one indicative date for your trial (classes on Monday and Thursday): *

Mark if you accept to receive updates regarding events & demos Mark if you accept to receive updates regarding events & demosYesNo

Aknowledgement Aknowledgement I acknowledge having read the provisions of Article 13 of the EU Regulation. I agree that my personal data may be processed and kept (stored) only for the purposes of the club, including communication to members within the framework of the objectives of the club.

Disclaimer of Liabilites for the Trial lesson Submitting this application I testify my personal willingness to participate in the trial lessons of Hwa Rang Do® and Tae Soo Do® Club Luxembourg. I DECLARE In addition, with the acceptance of this, I want to leave and exempt the following individuals and companies: Henry Taejoon Lee (President and Instructor of the World Hwa Rang Do® Association), the Hwa Rang Do® Club Luxembourg asbl, the World Hwa Rang Do® Association (World Hwa Rang Do® Association 13762 Newport Ave., Suite #201, Tustin, CA 92780, USA) from all actions, suits and any kind of legal proceedings and / or arbitration between them including - but not limited - to those related to risk of injury and / or the risk of loss or damage to personal items for any reason, both during training and in the outward and return journeys.