Application Form
6/8/2021
𝗚𝗘𝗡𝗘𝗥𝗔𝗟 𝗥𝗘𝗟𝗘𝗔𝗦𝗘:

1. Upon acceptance of my application for active membership and instruction, I hereby assure the Japan Karate Association of Hawaii, its instructors and fellow members that:
    • I am physically, mentally and emotionally fit to practice the art of Karate.
    • I will not perform any activities detrimental to the art of Karate or JKA Hawaii nor will I use the physical forms of karate in any but a discreet and judicious manner outside the Club.
    • Any knowledge and experience obtained here will not be used by me in any way for financial profit nor will I endeavor to instruct others or hold demonstrations 𝗪𝗜𝗧𝗛𝗢𝗨𝗧 𝗧𝗛𝗘 𝗘𝗫𝗣𝗥𝗘𝗦𝗦 ğ—žğ—¡ğ—¢ğ—ªğ—Ÿğ—˜ğ——ğ—šğ—˜ 𝗔𝗡𝗗 𝗣𝗥𝗜𝗢𝗥 𝗖𝗢𝗡𝗦𝗘𝗡𝗧 𝗢𝗙 𝗧𝗛𝗘 𝗖𝗛𝗜𝗘𝗙 𝗜𝗡𝗦𝗧𝗥𝗨𝗖𝗧𝗢𝗥.
    • I will abide by the Club rules and make every effort to exercise good sportsmanship in the practice of karate.

2. Moreover, I hereby release, discharge and acquit this Club, the landlord, the instructors, fellow members, and all individuals and groups in any way connected with the Club, from any and all responsibility resulting from any injuries I may sustain while participating in JKA Hawaii activities.

3. My signature below confirms to all who may concerned that I have carefully read the above and understand and agree to all the conditions set therein.

All the information shared here are confidential and for the Chief instructor's use only.
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Student full name *
Date of birth *
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Any medical conditions? If yes, please explain. *
Anything else? *
Feel free to share other information that may be useful in your karate education. Where do you work, what do you do? Why train karate? What got you interested? Do you have prior karate experience? Do you play any other sports?
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