REGISTRATION FORM

REGISTRATION FORM FOR TRIAL LESSONS

* Indicates required field

Name (parent/guardian if under 16) *

First

Last

Your email (parent/guardian if under 16) *

Contact telephone number (parent/guardian if under 16) *

EMERGENCY contact telephone number *

NAME OF FIRST STUDENT *

NAME OF SECOND STUDENT (if applicable) *

AGE OF FIRST STUDENT *

AGE *

NAME OF THIRD STUDENT (if applicable) *

AGE *

Do you have any medical or other conditions that may affect your participation in a karate class? *

If you selected 'YES' please give details: *

Will you need to bring any medication with you to the class? *

If you selected 'YES' please give details. It is your responsibility to ensure that you bring your medication with you and any important medical information is brought to our attention before class. *

GENERAL INFORMATION:

Before coronavirus restrictions our policy was that parents were welcome to stay and watch classes. Unfortunately due to coronavirus restrictions we are no longer able to do this. However, we appreciate that young children attending a new activity in an unfamiliar setting may want a little parental support. For primary school aged children we ask that one parent/guardian stays in or near the sports centre during the first trial lesson so you are contactable should the need arise. If you feel strongly that your child will benefit from you staying in the sports hall to watch the first class, please let us know so that we can take steps to accommodate this.
Please ensure you have informed us of any medical or other condition that may affect participation in a karate class; this includes but is not limited to any medical conditions that may be affected by high intensity or strenuous exercise.
If anyone due to attend the trial lesson has symptoms of coronavirus or should be in quarantine/self-isolation for any reason, please let us know and please do not attend. Your trial lessons can easily be re-scheduled.
If you are unable to attend your trial lessons for any reason, please let us know as far in advance as possible. Thank you.

Is there any other information you wish us to have? *

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