Personal Details
Club Information

Health Questionnaire

 This information is required to assess your physical fitness level. Your health questionnaire is confidential and will not be released without your consent.  

I confirm that I have answered the above questions correctly. I understand that the Taekwon-Do school or agents acting on behalf ITF Taekwon-do Australia above cannot be liable for any injury that may be sustained as a result of participation in the national squad sessions. I also understand that the coaches may select me in any one, or all, or none of the disciplines in which I seek selection. I understand that my deposit of $200 for squad selection is non- refundable & will be used for the National Team selected. 

Deposit fee into following account reference- NS17(Your Surname)     

ITF Taekwon-do Australia BSB: 083636   Acc. No. 83-340-6275