Registration Form

Use this form to register for our Martial Arts Programs or Seminars. For camp registrations, please use the camp registration form.

Seminar Title

Please indicate which class you would like to register for:

 Tai Chi Chuan Kung Fu Chi Kung Kung Fu for Kids Seniors Meditation Seminar Women's Wellness Weekend Spiritual Journey

Program Location

Muskoka Renfrew County 

Your Name

Address (including postal code)

Telephone Number

Your Email

Birthdate

Health

Please indicate your general health or any health concerns you may have:

Name of Emergency Contact:

Relationship

Telephone

Miscellaneous

Previous Martial Arts or fitness experience?

What do you hope to gain from this program?

How did you find out about Temple Knights?

Occupation?

Additional Comments

Would you like to receive our monthly email newsletter?

Waiver:

By submitting this registration form I certify that the above information is correct. As a participant I acknowledge that Temple Knights and their representatives shall in no form be liable or responsible for injury or bodily harm occurring to me during classes and that such risks shall be borne by myself voluntarily. Our policy after registration is no refunds. Make up classes, credit for unused classes or credit transfers are possible. Signature or signature of guardian will be required. Thank you.