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Sign-up Form

I understand that strict observation of the rules and regulations relative to the training as set out by Impact Tae Kwon Do will largely eliminate the possibility of accident or injury. However, I hereby waive any claims of personal injury or damages against Impact Tae Kwon Do or any of its principles, instructors, agents, or employees, in any case resulting from the subject activity.

I further agree that any picture taken of my child(ren) in connection with the Summer camp can be used by the Impact Tae Kwon Do for publicity or promotion without compensation at this or any other time.

Thank you! Message sent.

We only accept a limited number of students.

If you are paying by check through mail, please make checks payable to Impact Tae Kwon DO and send payment and registration information to:


743 E Main St

Purcellville, VA



-2021 Impact TKD Summer camp-