Contact information

We kindly request that all students complete this form to ensure your instructor and the club are aware of any relevant medical information and contact details before training. If you have any questions regarding this form, please consult directly with your instructor before commencing any form of training.

Email *
Full name of the student *
Date of birth of the student *
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/
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/
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Address of the student *

Emergency contact / Next of kin


*

Please indicate who we should be contacting in the unlikely event of an incident.

Name, phone number and their relationship to the student.

Photography & Videography Consent


*
From time to time we like to share photos or videos of our students with the rest of the club. This may be via Facebook, Instagram or other media platforms. We may also like to use photos from training to help advertise our class to others – for example, via our website.

Are you happy to be included in photography, and for it to be used as described above?

Insurance


*
We maintain a train with everyone and anyone approach. We believe this is a very beneficial approach as every club/instructor has something different to offer. If you are a student registered with a different karate club, we need to ensure you have a valid student-to-student insurance in place. Please make sure you support your club first, and that your instructor is aware that you train with us too. If you are new to karate, you will have free insurance with the club for the first 4 weeks, after this, we request you apply for your licence with HDKI GB. 

LICENCE / INSURANCE NUMBER and EXPIRY DATE:

Club Rules & Disclaimer


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We’re keen to create a safe, enjoyable space where everyone is free and able to learn martial arts without harassment or intimidation. Our club operates a zero tolerance on bullying or any such harassment during or outside of training. Your instructor is here to keep you safe and help you learn – we ask that you please show respect and listen carefully to instructions when given, as they are for your protection.

Training within our club is done entirely at your own risk, in conjunction with our assumption of risk form which can be found on our website and you must read before training. A general risk form can be found on our website, please ask your instructor for a copy of a lesson specific risk assessment form.

We ask that you operate a common-sense approach – you might get hurt. You agree to undertake training at your own risk and must make reasonable arrangements by your own accord should you require insurance for personal accident or liability. Talk to your instructor if you are in any doubt.

Please confirm you are happy to agree to our club rules and disclaimer.

Medical Disclosure

This is really important.


*

We need to know if you have any past or current medical conditions, injuries or medication that you might need to disclose to your instructor.

This is stored in the utmost of confidence and will be treated with sensitivity. Our instructor needs to know if there are any injuries or conditions present that might heighten your risk of injury or harm when undertaking different exercises and drills.

Should the worst happen and an injury occur, it’s essential the instructor is aware of any underlying medical conditions or injuries that might have contributed to, or caused an incident.

Please talk with your GP before training with us if you have any concerns or any medical conditions past or present to ensure it is safe to proceed.

PREGNANCY

Unfortunately, our classes are not suitable for anyone who is, or may be, pregnant due to the nature of impact and contact. We won’t ask you to confirm you’re not pregnant – but please talk to your instructor now, or in the future, should this become relevant.

MEDICAL CONDITIONS AND INJURIES

Please think carefully and include any past or present injuries and medical conditions that might affect your ability to participate. This might include, for example, a previously broken left wrist that is now weakened, or a knee that is weak (but has not been investigated by your doctor), or it could refer to a past or on-going condition – such as Asthma or Arthritis.

Please also include details of any allergies you might have.

Medication or specific requirements


*

We’re committed to offering an equal opportunity for everyone to participate regardless of any medical requirements or mobility issues.

Please note any medication you are on that might affect the way you act during the class, or might change your abilities during exercise. Please also note any disabilities you would like noted, or any other requirements you may have.

I, the above-named student, confirm that the details enclosed in this document are accurate and true to the best of my understanding, and I declare that I am fit to participate. 

Communication

We’d like to add you to our Sonchō Karate Club (members only) group on Facebook and our WhatsApp group so you can quickly and easily communicate with the instructor, fellow students, grading examiners and squad coaches (i.e: with notices regarding classes, to let us know about attendance etc). For more personal matters we would also appreciate your WhatsApp number, so we can drop you a line directly and in confidence.


WHATSAPP NUMBER:

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