greaterskillattitudeknowledge Student full name * Please note, this must be filled in for each student. First Name Last Name What type of training do you want to do? Traditional Karate, Self Defence, M M A, Workshops, personal training or Kickboxing? And/or are you currently training in? What is success to you? Phone number(s) * Email * Emergency contact name(s) * Please also mention your relationship to the emergency contact Emergency contact number(s) * Terms, conditions, health & safety policy * All class bookings are required to be paid in advance & a minimum of 4 students per class is required, in some cases management may require the Private training fee if minimum numbers are not met - make up classes are offered as an alternate to this also. I understand I must notify Martial Arts Gym at least 24 hours in advance that I cannot attend a session, Martial Arts Gym will use their best endeavours to arrange for a makeup session within 10 days of the missed one or 10 days from when a medical certificate was issued. If less than 24 hours’ notice is given no refund or makeup session will be given except at the discretion of Martial Arts Gym in cases of emergency. Should any new medical condition arise, developing new flu like symptoms or something related to restricting my movements with the physical training I will notify my instructor & seek medical aid if required. This may require me to stay away from training for a certain amount of time which I will notify my instructor of as soon as practicable. I understand that I will be required to exert myself physically and that not all risks can be predicted and that I may suffer harm (including death or personal injury) by taking part in personal training or other physical activities with Martial Arts Gym whether at the gym or at other locations (“the fitness activities”). If I suffer harm during or in connection with the fitness activities I HEREBY RELEASE Martial Arts Gym, its employees, contractors or agents from responsibility for any injuries which I may suffer. I will not make any claims against Martial Arts Gym, its employees, contractors or agents for any loss, costs, damages or liabilities I may incur in respect of any injury suffered by me or by any other person in connection with the fitness activities. I acknowledge that this waiver represents a legal release and discharge of legal responsibility to Martial Arts Gym, its employees, contractors and agents. I warrant that I will not participate in the fitness activities whilst affected by drugs and alcohol, and I indemnify Martial Arts Gym in respect of any loss, costs, damages of liabilities it may suffer as a consequence of my participation in the fitness activities whilst under the influence of drugs or alcohol. Contact sport is dangerous & should be undertaken with the understanding of contact levels & your ability levels; NO contact = no scratching, pinching, biting, hitting, tickling, throwing except for pad work out. TOUCH contact = striking with protective gear to the body but pulling the strike as to tag the opponent uniform or skin without impact & includes a focus of defensive tactics. SEMI contact = striking includes defensive tactics with the aim of applying martial arts techniques on a partner based on solo & pad workout drills to impact your partner, no head shots & no sensitive areas to be struck, no spinning back fist, knee or elbows to the opponent. I understand that Martial Arts Gym requires me to disclose all relevant information about my health and capabilities including any pre-existing or previous injuries or medical conditions that may affect my safety or the safety of others participating in the fitness activities or that may be exacerbated by my participation in the fitness activities and that if I fail to provide this information Martial Arts Gym will not be able to take appropriate action to limit the risk of harm to me or to others. Except as disclosed on this form, I do not have any medical issues that may affect or prevent my participation in the fitness activities. I've read, understood & agree to this prior to my training commencing. Further information Are there any special needs or other medical information we should be aware of? File Upload FileField;MaxSize=5120;Multiple;addText=Add_your_Files; Media release * Photos, videos & rarely live feeds may be taken by STAFF & LEADERS, in some cases members & their families will want to do the same. Yes I am happy with this Yes I am happy with this but please don't use my face No I am not happy with this Thank you! We’ll be in touch from time to time for active members. APPLICATION FORMUse this link to join our all in1 M systemfor bookings & much more!