One Month Free

Choose a club! *

Please note that at Mount Pleasant Centre there is a car parking system. Please enter your car registration into the iPad on arrival, parking is free but registration must be entered to avoid a parking fine. Alternatively, can park on the road to avoid altogether.

Thanks!

Rotation

Instructors Email

Today's Date

Day Month Year

First Name *

Last Name *

What is your relationship to the student? *

Full Name

First Name Last Name

E-mail *

Please note that outlook, live & hotmail email addresses send some of our emails to the 'junk' folder. We will contact you - if you don't hear from us, or don't receive our weekly emails - check your junk folder & mark as 'not junk', or follow this guide to add tmaclubmail.com & tigermartialartsclub.com to your whitelist. Using a 'non Microsoft' email address would be a better option.

Mobile number *

Do you have more than one child that wishes to partake in the free trial?

Yes No

Full Name

First Name Last Name

First Name *

Last Name *

Gender *

Date of Birth *

Day Month Year

Age

Relevant Medical Conditions

Does your child have any special needs that we should be aware of?

Yes No

Please provide relevant details of special needs:

Does your child receive 1:1 support in school?

Yes No

Please be aware that we do not have the capacity to provide 1:1 support in most of our classes, we would request that you have a chat with us prior to form submission so that we can ascertain whether this particular class will suit - certain classes may be better than others with regards to adult to child ratios. Feel free to give us a call on 07921855900 and ask if you might be able to speak with Instructor Nick, regarding classes that might be best for 1:1 support.

What School Does Your Child Attend: *

Has your child ever earned a colour belt during school time, in one of our curriculum classes?

Yes No

What colour would that be?

Are they attending the straight after-school (youngest) class? *

Yes No

Would you like us to pick up from the school and walk them down to the hall? *

Yes No

What class are they in? *

Please sign here to confirm that you would like us to pick up from school and walk down to the hall *

Clear

Does this child have permission to walk home from class?

Yes No

Your Details

1st Student Details