Japan Karate Association

New Zealand

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Member Registration Form

Full name

Email address

Mobile number

Which dojo would you like to join?

Date of birth

Address

Medical conditions (if any)

How did you hear of the dojo/class?

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.