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Cart
0
Membership & Rates
Schedules
Locations
Our Schools
One With Heart St Johns
Learn More
Our Story
The Arts We Teach
Meet the Team
For Members
What's New?
Blog
Policies
Martial Arts School
New to OWH
Adults and Teens Classes
All Adult Classes
Pukulan Kung Fu
Shaolin Kung Fu
Women's Self-Defense
Muay Thai Kickboxing
Teens Pukulan Kung Fu
Escrima Filipino Sticks
Hati Hati Healing
Kids Programs
All Kids Programs
After-School Program
Day Camps
Kids Pukulan Classes
Kids Self-Defense
Summer Camps
After School Program Updated Registration
1st Child's Name
*
1st Child's Name
First Name
Last Name
School your child attends
*
Pick One
Atkinson
Glencoe
Laurelhurst
Mt. Tabor
Richmond
Sunnyside
Winterhaven
Birthdate
*
Birthdate
MM
DD
YYYY
Gender
*
Pick One
Male
Female
Second Child's Name
Second Child's Name
First Name
Last Name
School your child attends
Pick One
Atkinson
Glencoe
Laurelhurst
Mt. Tabor
Richmond
Sunnyside
Winterhaven
Gender
Pick One
Male
Female
PARENT OR GUARDIAN INFORMATION
Primary Contact Name
*
Primary Contact Name
First Name
Last Name
Phone Numbers (Home, Cell)
*
Email Address
*
Home Address
*
Home Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Employer Name
*
Work Phone Number
*
Work Phone Number
(###)
###
####
Emergency contact person
*
Emergency contact phone
*
Emergency contact phone
(###)
###
####
Authorized Pickup Names
*
EMERGENCY MEDICAL INFORMATION
Child's Physician
*
Physician's Address
*
Physician's Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Physician's Phone
*
Physician's Phone
(###)
###
####
Allergy Information
*
Date of last Tetanus
*
Date of last Tetanus
MM
DD
YYYY
Child's Dentist
*
Preferred Hospital
*
Health Insurance Company
*
Health Insurance Company Phone Number
*
Health Insurance Company Phone Number
(###)
###
####
Parent or Legal Guardians Signature
*
Thank you!