KSA Minor Child Waiver
Liability Waiver for KSA Martial Academy - Participants under the age of 18. This form can only be completed by a Legal Guardian or Parent. Proof of identification must be provided in person.
Email address *
Legal Guardian First Name *
Your answer
Legal Guardian Last Name *
Your answer
Primary Phone Number: *
Your answer
Secondary Phone Number:
Your answer
Today's Date *
MM
/
DD
/
YYYY
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