WTM — Annual Re-enrollment Form

01

Student Information

Re-registration Fee Notice: A re-registration fee is required to complete your enrollment for the new cycle. Submit payment and provide the receipt number below before submitting this form.

Payment Reference / Receipt Number *

First Name *

Last Name *

Date of Birth *

Gender *

Male Female Other

Current Belt Rank *

School / Institution Attending *

02

Parent / Guardian Information

First Name *

Last Name *

Relationship to Student *

Primary Phone (WhatsApp preferred) *

Secondary Phone (optional)

Email Address *

03

Emergency Contact

First Name *

Last Name *

Relationship *

Phone Number *

04

Medical Information

Any known medical conditions or allergies? *

Yes No

Please describe *

Any physical limitations we should be aware of? *

Yes No

Please describe *

05

Class Schedule Preference

Preferred Training Days *

Monday Wednesday Saturday

06

Updates & Changes

Belt Grading Eligibility Policy

Students must maintain consistent attendance throughout the grading cycle to be eligible for a belt grading exam. Irregular attendance may disqualify a student regardless of technical readiness.

Readmission Policy Notice

Parents/guardians are required to notify the Head Instructor before a student stops training. Failure to do so may result in denial of readmission at the school's discretion.

Has any contact information changed since last enrollment? *

Yes No

Any other updates or notes for the instructor?

07

Consent & Agreement