Contact – Fulinkazan Martial Arts Club

Please complete the form below to register for your free trial session.

Before you can participate in any of our classes you will need to complete the waiver form below

Participant type *Adult (18+)Under 18 (Minor – Parent/Guardian Required to complete form)

Full Name of Student *

Date of Birth of Student *

Email Address *

Phone *

Parent/Guardian Full Name *

Phone *

Parent/Guardian Consent *I confirm I am the legal parent/guardian and give permission for participation in martial arts training including contact, sparring, and physical activity.

Emergency Medical Authorisation *I authorise gym staff to seek emergency medical treatment for my child if required.

Emergency Contact Name *

Emergency Contact Phone Number *

Medical Conditions / Injuries

RISK ACKNOWLEDGEMENT
I understand that martial arts training (including Brazilian Jiu-Jitsu, Kickboxing, Kudo, Wrestling, sparring, grappling, striking drills, and conditioning) involves physical contact and risk of injury.

These risks include bruises, sprains, joint injuries, fractures, concussion, and in rare cases serious injury.

SPARRING AGREEMENT

I understand sparring and live training involve controlled physical contact. I accept that injuries may occur even with supervision and safety rules in place.

MEDICAL FITNESS CONFIRMATION *I confirm that I am physically fit to participate in martial arts training.

GYM RULES AGREEMENT *I agree to follow all gym rules and understand unsafe behaviour may result in removal from training.

GDPR DATA CONSENT *I consent to my personal data being stored for membership, safety, and communication purposes.

Privacy Policy Agreement *I have read and agree to the Privacy Policy.

MEDIA CONSENT *I give permission for photos and videos of me to be used for marketing, social media, website content, and promotional purposes without compensation.

FINAL WAIVER AGREEMENT *I confirm that I have read and understood this waiver and voluntarily accept all risks associated with martial arts training.

Signature Consent Checkbox. *I confirm I have read and agree to all terms of this martial arts waiver.

Full Name (Digital Signature) *

Medical Fitness Confirmation (Guardian version) *I confirm my child is physically fit to participate in martial arts training.

Gym Rules Agreement (Guardian version) *I understand my child must follow gym rules and may be removed for unsafe behaviour.

GDPR Consent (Guardian version) *I consent to my child’s data being stored for membership and safety purposes.

Privacy Policy Agreement (Guardian version) *On behalf of my child I have read and agree to the Privacy Policy.

Media Consent (Guardian version) *I give permission for photos/videos of my child to be used for marketing and promotional purposes.

Parent/Guardian Full Name (Digital Signature) *

Signature Consent Checkbox *I confirm this acts as my legal electronic signature on behalf of my child.

Date *