written by: Master Silverman

Please provide the following information. When you have finished, press the submit button to complete the pre-registration process. You will be contacted for details on how to complete the registration process.

 Tae E. Lee Kanata Taekwondo Class Pre-registration   

Basic Information
First Name:
Last Name:
Date of Birth:
Address Information
Postal Code:
Home phone:
Work phone:
Cell phone:
email address:
Which Course are you registering for:
How did you hear about our classes (please provide details):

By clicking SUBMIT, I understand that this form is only a pre-registration application, and submission of the above information does not guarantee entry into the program.