New Members Form

To complete your registration please read our Terms and Conditions and fill out a New Members Form.

Please ensure that your contact information is correct and that you have informed us of any medical issues that we may need to be aware of.

If you are signing up multiple family members there will be an opportunity to return to this page after you submit the first student form.

Student Information

Student Name

First Name

Last Name

D.O.B.

YYYY

Gender

Medical Information

Parent Name (if under 18)

First Name

Last Name

Payment Plan

Please select the monthly plan you'd like us to assign to your Direct Debit. If you are signing up multiple family members, select family and we will be in touch to confirm the payment amount. If you select 1x per week, we will assign you to the class you had your trial in, unless informed otherwise.

Contact Information

Mobile Contact Number

Please place a primary mobile contact number here with no spaces in-between numbers

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Declaration

To be completed by the Applicant / Parent / Guardian I the undersigned understand that there may be some risk involved by studying Martial Arts and hereby release Warrior Industries LTD, Warrior Martial Arts, all Coaches and Students from any and all liabilities for any type of injuries or loss sustained whilst training, studying, practicing or in the application of the Martial Arts. The undersigned also states that they/their child is in good physical condition and knows of no reason why they/their child cannot participate in Martial Arts. Finally, he/she states that they are giving their information to us willingly, with the understanding that it is solely for communication and record keeping purposes. WMA will never knowingly share your information with anyone. By my ticking of the boxes below and submission of this form, I acknowledge that I have read, understood and agreed to the above policies and procedures of joining and training with Warrior Martial Arts.

I have read, understood and agreed to the above declaration.

Yes

I have read, understood and agreed to the Terms and Conditions of Membership (Link At Top Of Page)

Yes

Please read the below statements. By ticking the following boxes, you confirm that you have read, understood and accept these key points of membership.

Part of my joining fee covers a 1 year WAKO Student Licence that needs to be renewed Annually (£20)

Yes

Spectators are not permitted during classes unless during special demo weeks.

Yes

My data will be collected and used by WMA for communication purposes.

Yes

In order to cancel my membership I need to provide 30 days written notice. Failure to provide this notice will result in action being taken, which could lead to the involvement of court proceedings and/or debt collection agencies.

Yes

By completing this form I am providing a digital signature as either the student or legal guardian of the child participating.

Yes

Digital Signature

Full Name of person completing this form

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