Registration form

Please complete this form for each new student. The instructor will confirm your registration and class schedule.

Vovinam Hung Vuong
800 East Broadway, Vancouver, BC V5T 1Y1 · 604-754-5221

Student information

Full name

Date of birth

Student / parent phone

Email

Emergency contact

Emergency contact name

Emergency contact phone

Medical conditions or injuries we should know about

Media consent & liability waiver

I give permission for photos or videos taken in class or at events to be used in school websites, social media or printed materials. (If you do not agree, please inform the instructor.)

I understand that martial arts training involves physical contact and the risk of injury. I agree to follow the instructor's directions and accept responsibility for my / my child's participation.

Submit registration