Student Information.Please enable JavaScript in your browser to complete this form.▶︎Parent's name *FirstLast▶︎Student name *FirstLast▶︎Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code▶︎Cell Phone *▶︎Email *▶︎Please list your child’s current activities▶︎Have they ever done martial arts before and or have you attended Pinnacle Taekwondo?If Yes, Where/ When/ How long▶︎Does your child have any medical issues that might affect their ability to participate in martial arts?AllergiesAsthmaAutismADHDAnemiaPlease Check the boxes(Multiple Choice)Etc▶︎How did you find out about our school? *Pass byReferred by member/FriendGoogleFace bookFlyerEvent▶︎Which of the following benefits are you interested in for your child? *Better Listening SkillsIncreased ConfidenceBetter FitnessImproved BehaviorFun ActivityLearning Self Defense▶︎MessageWebsiteSubmit MAP Hours 🗓 Please make an appointment. Monday : 3:00pm - 8:15pm Tuesday : 3:00pm - 8:15pm Wednesday : 3:00pm - 8:15pm Thursday : 3:00pm - 8:15pm Friday : 3:00pm - 7:00pm Saturday : Event only We're on social media