FAMILY MUAYTHAI Consent Form
Thanks a lot for deciding to try out our Red Kite Muaythai. We try to maintain a fun yet responsible approach
to our training which means I would be most grateful if you would complete and sign this consent form. Some
of the questions may seem quite personal and you are not legally obliged to answer them. I would however
encourage an honest and frank approach and can assure you that your personal information will be used in
an appropriate fashion and for the purposes of safety only.

If you are giving permission and responsibility for another adult to bring your child/children to the session please add their details below as 'adult 1' and add your details in Section 2 under Parent/Guardian. Thanks

Date *
MM
/
DD
/
YYYY
E mail
Your answer
Name of Adult 1 *
Your answer
Name of Adult 2
Your answer
Name of Child 1 *
Your answer
Name of Child 2
Your answer
Name of Child 3
Your answer
Address
Your answer
Telephone Number *
Your answer
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