Parent Name (required)

Email Address (required)

Street Address (required)

City/State/ZIP (required)

Phone Number (required)

Child #1 Name (required)

Date of Birth (required)

Child #2 Name (if applicable)

Date of Birth (if applicable)

Child #3 Name (if applicable)

Date of Birth (iff applicable)

Previous Martial Arts Experience?

Please list any physical limitations or considerations your child(ren) have that might affect their experience in class

WAIVER OF LIABILITY (required)

I have been advised and am informed that there are inherent hazards in practicing Aikido, or an other Martial art system. I have had the opportunity to observe a class here at Aikido of Fresno and ask questions about the risks inherent in study here. I understand that class here will involve physical contact, including but not limited to: Falling, striking, stretching, tumbling, and strenuous physical movement.

I hereby personally assume all risk in connection to any practice that I may participate in here at Aikido of Fresno. I understand that regular injuries including death, may occur and are a part of participation. Despite these hazards, I wish to proceed with training here at Aikido of Fresno. This includes all risks connected therewith from any claim by me or my family, heirs, or assigns, arising out of my enrollment and participation at Aikido of Fresno..

I am of lawful age and legally competent to sign this affirmation and releease or have acquired the written consent of my parents or guardians."

I HAVE FULLY INFORMED MYSELF OF THE CONTENTS OF THIS AFFIRMATION AND RELEASE BY READING IT IN FULL.