Martial Arts Registration

Student's full name (required)Date of birth (required)Email address (required)Mobile number (required)Address (required)Parent or guardian name, if under 18

Training

Which style? (required)Have you trained before? (required)Your grade, style and awarding bodyHow often would you train? (required)

Health and injuries

Injuries, past or present (required)MedicationHave you had a concussion in the last 12 months? (required)

Contact and consent

Training involves physical contact. Classes range from no-contact drills to controlled sparring. Please tell us what you - or your child - consent to. This can be changed at any time by telling your instructor.

What level of contact do you consent to? (required)

I'd like to work towards gradings

Photographs may be used by the club

Emergency contact - name and number (required)

I understand martial arts carry a risk of injury and I train within my own limits (required)

Instructors may seek emergency medical treatment if needed (required)

If the student is under 18, I am their parent or guardian and consent to the contact level above