Membership Hold Request Form Membership Hold Request — ELITE TAEKWONDO CENTER MEMBERSHIP HOLD REQUEST Please complete the form below to request a membership hold. We will contact you to confirm your hold dates. Student's First name* Student's Last name* Student's Age* Gender* Select… Male Female Other Prefer not to say Parent's Email address* Phone number* Current belt* Select… White Yellow Advance Yellow Orange Green Advance Green Purple Blue Advance Blue Brown Red Advance Red Danbo Black Belt 1 Dan Level 1 Black Belt 1 Dan Level 2 Black Belt 1 Dan Level 3 Black Belt 1 Dan Level 4 Black Belt 2 Dan Level 1 Black Belt 2 Dan Level 2 Black Belt 2 Dan Level 3 Black Belt 2 Dan Level 4 Black Belt 3 Dan Level 1 Black Belt 3 Dan Level 2 Black Belt 3 Dan Level 3 Black Belt 3 Dan Level 4 Requested hold start date* Requested return date* Reason for the request* Comments Submit request Requests are sent securely to Elite Taekwondo Center. Fields marked * are required.
