2024 Membership Pyong Hwa Kunin Tang Soo Do Association
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2024 PHKTSDA Registration
*
DAN Membership ($20.00)
GUP Membership ($20.00)
Member Information
Student Name
*
Date of Birth
*
Month
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Gender
*
Male
Female
Email
*
Select Only One (1) From appropriate Group
Tigers / Dragons / Yellow Belt Kids
(Choose One)
Does Not Apply
Tiny Tiger All Levels
Little Dragons All lLevels
Karate Kids - Yellow Belts All Levels
Gup Rank
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Does Not Apply
1st Gup Red Belt
2nd Gup Red Belt
3rd Gup Red Belt
4th Gup Green Belt
5th Gup Green Belt
6th Gup Green Belt
7th Gup Orange Belt
8th Gup Orange Belt
9th Gup Orange Belt
10th Gup White Belt
Dan Rank
(Choose One)
Does Not Apply
Cho Dan
Ee Dan
Sam Dan
Sa Dan
O Dan
Yuk Dan
Chil Dan
Instructor & School
Your Master Instructor
*
(Choose One)
SBN Majkut
SBN Mendes
SBN Stickel
SBN Vargas
KJN Voelker
Your Dojang (Training Studio)
*
(Choose One)
Brown TSD
Jersey City TSD
MAFI
Mendes TSD
MTSDA
KJN Code (office use only)
Apply
Total
$0.00
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