UKTC South of England

Holiday Form
Its Holiday Time again!!!
Happy Easter Everyone

Holiday Form
Please complete all of the information requested as it provides the opportunity to update members contact
information.
Student numbers may fall during holidays and for this reason, some classes may be closed.
However, we do have alternative classes nearby and hope to see you at one of these venues.
For a list of current venues, please visit www.premier-tkd.co.uk/venues.aspx
First Name:

D.O.B. (dd/mm/yyyy)
Address:

Family Name:

Age:

Gender:

Male /

Female

STD Phone:
E-mail:

Post Code:

Mobile:

UKTC Membership Number:

Current Grade:

I am a Little Tiger Cubs / Taekwon-Do / TKD Kickboxing student.

(Please delete/highlight as appropriate)

I regularly attend class on the following day(s):

I will NOT be able to attend my regular class as follows:

Week Commencing Monday 2nd April

Week Commencing Monday 9th April
If you are unable to attend your regular class, you may attend one of alternative venues.
Please visit www.premier-tkd.co.uk/venues.aspx for a list of our classes.

Name / Signature:

Tenets of Taekwon-Do:

Date:

Courtesy Integrity Perseverance Self Control Indomitable Spirit

Mr I Hollinsworth V Dan. Phone 07411 40 40 80
E-mail: premier-tkd@premier-tkd.co.uk