Team Torres Derry Kids Questionnaire

We like to know a little more about each child we teach and value additional information parents can provide us with. Could you please take few minutes to answer these questions to let us know a little about your child.

Subject

Student Name

Parents Name

Date of Birth

Address

Contact

Your email

School / College

Has your child experienced bullying or negative peer pressure?

Has your child trained in Martial Arts before?

Please inform us if your child has any medical conditions we should know about

List other after school or extra curricular activities your child does?

Please tick the areas your child needs help with
Self confidenceAssertivenessSelf disciplineAttitude to learningConduct at schoolGeneral behaviourMotivationConcentrationCo-ordinationFitness

Thank you for taking the time to complete this form.

The more we know about your child the better we can tailor their training to achieve positive outcomes.

All information completed on this form will be kept private and confidential.

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*Due to Covid-19 this timetable is subject to change

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