Junior Trial - Hanuman Thai Boxing

Junior Pre-Trial Form

This form must be completed by a parent or guardian who has lawful authority in relation to the minor (under the age of 18 years), prior to said minor beginning a membership or training at Hanuman Thai Boxing.

Physical copies are available to be filled out at the gym on request.

Note: Any person under the age of 18 will not be permitted to use the weight training areas. Junior use is restricted to participation in group exercise classes and personal training.

Parent Name *

First

Last

Parent Date of Birth DD-MM-YY

Street Address and Postcode *

Email *

Contact Number *

Relationship to Junior(s) *

Parent
Guardian

Junior Name *

First

Last

Junior Date of Birth (DD-MM-YY) *

Junior Address (if different)

Second Junior Name (if applicable)

First

Last

Second Junior Date of Birth (DD-MM-YY)

Second Junior Address (if different)

I hereby testify that I have lawful authority in relation to the person(s) listed above, and as such do hereby give my consent for them to participate in the programs prescribed for them as a junior member of Hanuman Thai Boxing. As a legal guardian of said member, I understand that I am responsible for any outstanding debt owed to Hanuman Thai Boxing incurred by said member. *

I confirm

Waiver: please read below and confirm *

I understand

Martial arts training is a potentially dangerous activity. Bumps, bruises, scrapes, scratches and soreness are commonplace and most students will encounter this sort of minor injury from time to time during their training. More serious injuries are possible including sprains, strains, twists, cramps and injuries of similar magnitude and students can expect to encounter these injuries infrequently. The possibility of more serious injury exists including fractured bones and torn ligaments, though not all students encounter such serious injuries. As with any physical activity there also exists the remote possibility of death.

Signed (guardian) *

By signing this you are affirming that you understand the above statement of risk and accept the responsibility for any training techniques, advice, and/or methodologies mentioned herein. By assuming this risk you completely absolve all authors, creators, and affiliates of this club from liability for any injury, death or misuse of the information contained herein.

Today's Date (DD-MM-YY) *