Registration for Membership

OPTIONAL INFORMATION you may choose to supply --

 Have you previously participated in any structured karate training?

 If yes, what style? For how long? Belt or rank attained?

 Do you have any personal injuries or disabilities that could affect your participation in training sessions?

 What personal goals would you like to see accomplished by participating in Bama Karate?



Please send your NAME, PHONE, and E-mail address, to -- sensei_beth@bellsouth.net

Receipt of your registration
will be acknowledged
by e-mail.

I acknowledge that there are certain dangers inherent in any physical fitness activity, including participation in the Bama Karate Club. I hereby for myself, my heirs and my assigns, waive any and all claims to damages I may have against the Bama Karate Club, its instructors, members, the facilities used, or any representative of the club, for any and all injuries suffered by me while participating in this organization.

Signature: ____________________________________
Date: _______________________

PARTICIPATION WAIVER
(please sign before first training session)


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To open a pdf, printable version of this form,
click here.