Membership Application

Please complete SSK membership form and make payment
(for membership and cover to commence) :-

Membership Application Form

Membership Application Form

NOTE: If you need to go back, use the 'Back' button at the bottom of the form. NOT 'refresh' or the back arrow on your browser!
(Using '<-' back arrow, may cause the form to add charges when you revisit next section of the form)

‎ Application Type

Please select the correct application type below

‎ Parent's Details

Note: fields marked with a red * are required
First Name
Surname
Parent Gender
 

 

Address Line 1
Address Line 2 (Optional)
Town (Optional)
Country
Post Code

‎ Member 1's Details

Note: fields marked with a red * are required
First Name
Surname
1. Gender
 

 

Address Line 1
Address Line 2 (Optional)
Town (Optional)
Country
Post Code

‎ Training and Membership Options

(If you are only attending 1 class DON'T select it again on extra classes!)
1. Select any extra classes you want to attend
Add an extra person to your membership

‎ Member 2

First Name
Surname
2. Gender
2. Extra classes

‎ Member 3

First Name
Surname
3. Gender
3. Extra classes

‎ Member 4

First Name
Surname
4. Gender
4. Extra classes

‎ Payment Methods (Standing Order & Internet Banking)

NOTE: Selecting the RECURRING PAYMENT option using Standing Order or Internet Banking. (Lapsed members will be charged a £10 admin fee to rejoin)
After clicking on submit you will receive an automatic email containing SO/BACS Banking details
After clicking on submit you will receive an automatic email containing SO/BACS Banking details

‎ Additional Information

(Members may get discounts for introducing people)
Help us to understand your goals
Name & Relationship e.g. wife, husband, brother, friend
Photograph Permission
Occasionally our instructors take photographs during classes for our website, social media pages (eg Facebook) or posters. Please tick this box if you/your child does not wish to appear in these photographs. (Children’s full names are not included with photographs, unless they won an award – we would contact you, if that occurs)
 

 

 

 

 

 

 

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ROAD TO RECOVERY NEWSLETTER - Our next newsletter due out towards the end of the month will set out our plans to get...

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Get In Touch

membership@sanshoukuan.com

Location

 c/o The Dan Tien Centre

Harebreaks

Watford

WD24 6NJ

Phone

  07968 282 085

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SEND A MESSAGE