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Japan Karate Association
New Zealand

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JKANZ Registration Form

Member Registration Form

Full name

Date of birth

Mobile number

Medical conditions (if any)

Email address

Address

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Nationality

I the undersigned, my heirs, executors and administrators, hereby waive all claims, which I or they may otherwise have, arising out of any loss or life, injury loss of any description whatsoever, which I may sustain or suffer in the course of or as a consequence in the said karate training. This waiver release and discharge shall be in favour of all persons, joint or severally involved in staging or promoting the said karate training.

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Japan Karate Association
New Zealand

© 2022 By JAPAN KARATE ASSOCIATION NEW ZEALAND.

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