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. We find that the children usually engage better
with the training when their parents are not present, so we ask that parents leave their child for the session
and return promptly to collect them at the end. Should you wish to stay, there is a seating area on the lower
floor where you can wait for the session to finish. I am happy to discuss any concerns regarding these points
and thank you for your assistance.

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

Email address *
Date *
MM
/
DD
/
YYYY
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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