Affiliated
to
Name: …………………………….
Address: ………………………….
…………………………………….
…………………………………….
Postcode: …………………………
Tel No: ……………………………
D.O.B. …………………………….
Please detail any illnesses, injuries or disorders that the instructor should be aware of:
Declaration
I, the above named, declare the information on
this form to be correct. I hereby apply for membership of Fife Shotokan Karate
Club (FSKC) for a period of one year, and agree to abide by the rules of the
Club as designated by the Chief Instructor. I understand that FSKC reserves the
right to refuse/revoke membership at any time without any reason being given. I
further exonerate FSKC, instructors and officials from any responsibility for
any losses or damage to personal belongings/property and hereby accept the
practice of Karate to involve the risk of serious injury.