P4TKD / REGISTRATION

YOUR JOURNEY
STARTS HERE.

Rugby and Kenilworth members. One account for everything that matters.

01 Join as an existing or new student

02 Parent and guardian accounts for children

03 The club owner verifies all records

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NEW STUDENT / LICENCE APPLICATION

JOIN P4TKD

Your application will stay pending until approved by the club owner.

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01 / WHO IS THE ACCOUNT FOR?

Account type * Account holder full name * Account email address *

Choose password (12+ characters) * Confirm password *

02 / STUDENT DETAILS

Student first name * Student surname * Date of birth *UK format, e.g. 28/10/1993 Training club *

Training class *

03 / TAGB LICENCE DETAILS

Based on the licence fields confirmed by P4TKD. These details go only to authorised P4TKD administrators for manual review.

Previous TAGB school (if applicable) Previous TAGB ID (if known) Previous grade (if applicable) Previous KUP / DAN (if known) Date commenced training Date of last grading

04 / CONTACT DETAILS

Postal address *

Postcode * Contact phone number * Occupation (if applicable) Gender on TAGB form *

05 / MEDICAL & SAFETY DETAILS PRIVATE

Medical details are encrypted in storage and shown only to authorised administrators. Please give details relevant to safe training.

Do you suffer from any of the following? Tick all that apply.

Heart disorder Asthma Migraine Epilepsy Diabetes Nervous disorder Haemophilia Hay fever Other

Other medical information (if applicable) Do you have any physical injuries or disabilities? * If yes, please give details

06 / EMERGENCY CONTACTS

Optional contact details for club safety. Please provide an emergency contact where available.

First emergency contact Relationship Telephone

Second emergency contact Relationship Telephone

07 / DECLARATIONS

Have you been shown your insurance details? * Read the club rules ↗ I confirm that I have read and agree to follow the applicable P4TKD / TAGB club rules. I understand Tae Kwon-Do is a contact sport with physical risks, and the club will review my application before participation. I explicitly consent to P4TKD securely using the medical and safety information provided for the purpose of assessing safe training and membership. I understand that I can contact P4TKD about my data rights. Applicant name (parent/guardian for under-18s) *

The typed name and submission timestamp record your declaration for club review. P4TKD should confirm the approved TAGB declaration wording before accepting live licence applications.

Read the P4TKD privacy notice ↗ I understand P4TKD will use my details to manage registration, membership and licensing, subject to its privacy notice. ← Change registration path

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