{name} - Full name
{dob} - Date of birth
- Previous Martial Arts Experience
- Previous belt rank
{address} - Member address
{phone} - Phone number
{contact_name} - Emergency contact (if member has any)
{contact_phone} - Emergency contact phone
{contact_relation} - Emergency contact relation
- Neurodiversity's such as ADHD, Autism, Downs Syndrome, PTSD ect...
- Please list helpful accommodations for neurodiversity or other disabilities
The member realizes that there is a risk of injury involved with Martial Arts classes. The member voluntarily assumes the risk of accident, injury, damage, loss or harm of any kind to the members person or property as a result of training at HYDRA MARTIAL ARTS or demonstrations/tournaments. Neither HYDRA MARTIAL ARTS nor its officers, owners, Instructor, Assistant Instructors, fellow members, guests shall be in any way held liable for ANY claims, liability, demands, suits, actions or ANY proceedings of any kind on account of accident, injury, damage, loss or harm of ANY kind sustained by the member or to the member’s property. All information on this form as well as pictures, videos, stories or other items may be used in promotion of this organization or its parent organization. This would include web site, newspaper articles, magazines submissions and other forms of display or advertising.
- Member clicks to add their initials