Develop New Skills – Fulinkazan Martial Arts Club

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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 *