Shimjang Member Area

Member First Name*

Member Last Name*

Email*

Confirm Email*

Receive eNews?

Yes

Password*

Your password must contain at least eight characters including at least one uppercase letter and one number.

Head Shot Photo

File must be one of the following types png,gif,jpg,jpeg and
Be less then 0.98 Mb

Please make sure you save your profile after changing these images

Your Profile

Are you located in NSW and do you have an Active Kids voucher?

Yes
No

Active Kids Voucher (NSW Only)

Name on Voucher

Voucher Number

If you are claiming an a NSW Active Kids Voucher your Membership will not be
activated until Voucher has been validated, this may take up to 2 working days

Country*

Mobile*

Address*

City*

Postcode*

State*

Class*

Date of Birth*

(NOTE: Our Personal Accident insurance covers members from 5yrs to 59yrs)

Where did you hear about Shimjang?

Select All

NDIS Code

We will add this to your tax invoices moving forward

Emergency Contact

Name*

Phone*

Date Created

I am this members parent/Authorised Guardian*

Parent Guardians Full Name

I Have Trained in Martial arts before

Yes
No

Name style

Name instructor

What belt level did you reach

Does the applicant suffer from asthma, epilepsy, heart disease, stroke, or any form of physical or mental illness, injury or incapacity OR do you have any other physical or health problems which should be disclosed to SHIM JANG Taekwondo in the interest of the applicants health or safety?*

Yes
No

If Yes, give details

WSTA Membership

$66

Total:

Name on Card*

Card Type*

Card Number*

Expiry Month*

Expiry Year*

CVV*

Terms

Pledge*

I abide by the Shimjang Taekwondo pledge

Terms*

I agree to the below listed Shimjang Taekwondo Pty Ltd Terms and Conditions

Billing Increase*

I understand and accept that training fees will increase by $2 on the 1st July each year

Training Fees*

I understand that training fees are not refundable or transferable

Sir; I am hereby making application for Membership of the WORLD SHIM JANG TAEKWONDO ACADEMY (Martial Art style & Organisation).

In making this application I agree to abide by the instructions of my instructors and to honour the pledge of SHIM JANG TAEKWONDO.
I acknowledge that, while The World Shimjang Taekwondo Academy does make every effort to provide a safe training environment for its members, I do understand that Shim Jang Taekwondo is a physical activity and that accidents can and sometimes do occur.
I agree that I will participate in training classes at my own risk and I will not hold my instructors or other persons responsible for any injury I may suffer during Instruction, Grading, Practicing or Demonstrating the art of SHIM JANG TAEKWONDO.
I understand that the WORLD SHIM JANG TAEKWONDO ACADEMY reserves the right to refuse or disqualify my membership at anytime if I do not follow the rules of the school or the instructions of my instructors.

Please check the below box

Your Details

Step 1

Step 2

Step 3

Step 4

Total: