NameDate of birth *Street Addresshouse / Apartment, etcTownPostal CodePhoneEmail AddressMedical infomationDo you have any of the conditions below?Do you have any of the conditions below?Breathing difficulties e.g. Asthma, COPD:Low blood pressureHigh blood pressureJoint / skeletal Back ProblemsHeart conditionsEpilepsyHemophiliaDiabetesEpilepsyOtherIf yes to any of the above question please explain belowDo you have any Martial Art experence ?YesNoMartial Arts Experienceif Yes please provide more infomationInsurance Membership (Payment will be arranged in person)New memberRenewalAge Group:10-1516+Consent *I hereby declare that the information I provided above is accurate and complete to the best of my knowledge.I understand the importance of updating the club with any changes to this information. I acknowledge that participating in training for any martial art or combat sport carries a significant risk of injury. I am aware of the potential dangers and willingly accept this risk. Furthermore, I affirm that I have never been convicted of any charges related to physical violence. I have a clean record in this regard. I solemnly promise that I will only use the skills and techniques taught to me within the dojo or solely in cases of self-defense when faced with imminent physical harm. I commit to not instigating any form of attack or violence under any circumstances. I pledge to uphold the true spirit of the martial arts, which includes respecting the principles of discipline, humility, and sportsmanship. I also agree to give All Abilities Martial Arts the right to take and use photos, video images, and sound recordings of me during club activities. I understand that all media will be stored securely and in accordance with data protection regulations. These media materials may be used by All Abilities Martial Arts for promotional, fundraising, and training purposes. The club will use the material appropriately and sensitively in all forms of publication for distribution, including the Internet. Lastly, I acknowledge that All Abilities Martial Arts retains the right to terminate memberships at its discretion, and it reserves the right to reject any new applications for membership without providing a specific reason. I sign this declaration willingly and with full understanding of its contents.Send Message