Student Registration First Name *Last Name *Email *Username *Password *Date of Birth *Gender *MaleFemaleAddress *House Number and Street NameCity *Post Code *Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabwePhone *WeightEnter your weight in kgHeightEnter your height in cmPhoto *Choose FileNo file chosenDelete uploaded fileThe photo should be 35mm wide and 45mm with white or transparent backgroundCurrent Belt (Rank)10th Kup (White Belt/New Student)9th Kup (White Belt with Yellow Strip)8th Kup (Yellow Belt)7th Kup (Yellow Belt with Green Strip)6th Kup (Green Belt)5th Kup (Green Belt with Blue Strip)4th Kup (Blue Belt)3rd Kup (Blue Belt with Red Strip)2nd Kup (Red Belt)1st Kup (Red Belt with Black Strip)Black Belt 1st Dan/PoomBlack Belt 2nd Dan/PoomBlack Belt 3rd Dan/PoomBlack Belt 4th Dan/PoomBlack Belt 5th Dan/PoomTRAINING COMMENCE DATE *Full Name *Emergency ContactPhone *Emergency Contact NumberYearly Membership Fee (Not Refundable) *£60Consent *Yes, I agree with the privacy policy and terms and conditions. I understand that there may be a risk in the learning and practice of Taekwondo that it is possible to cause injuries. In joining Khorasan Taekwondo, I, as a result of this, absolve Khorasan Taekwondo, the instructors, and all students of Khorasan Taekwondo from any liability for any loss or injury that I may sustain while practicing, being taught, or competing in Taekwondo. I clearly understand that my participation in Taekwondo is entirely at my own risk. I will further abide by the rules and regulations of Khorasan Taekwondo if I am accepted as a trainee.I, with this guarantee, do not have a criminal record, and I, at this moment, confirm that I don't suffer from any illness, disease, or any other mental or physical disorder that can stop me from practicing Taekwondo.I agree that I or my child can be photographed and videoed during the training and competition. NOTE: The monthly payment should be made in advance in the first week of the month and is not refundable. This agreement may be terminated at any time with one month's notice in advance. After the payment, please register at www.british-taekwondo.com and select the club name, Khorasan Taekwondo.The membership type is Regular Member, and Kup is your belt. Signature *Start signing your signature hereYour browser does not support e-Signature field.Applicant's / Parent’s / Legal Guardian’s SignatureRegister