Sign Up Form

Please complete your registration below. Please insure that your information is correct and that you have informed us of any medical or anything else we should know.

Declaration: To be completed by the Applicant / Parent / Guardian I the undersigned understand that there may be some risk involved by studying Martial Arts and hereby release IWKA WingTjun Martial Arts, all instructors and students from any and all liabilities for any type of injuries or loss sustained whilst training, studying, practicing or in the application of the Martial Arts. The undersigned also states that he/she is in good physical condition and knows of no reason why he/she cannot participate in Martial Arts. Finally, he/she states that they are giving their information to us willingly, with the understanding that it is solely for communication and record keeping purposes. IWKA will never knowingly share your information with anyone. By my ticking of the boxes below and submission of this form, I acknowledge that I have read, understood and agreed to the above policies and procedures of joining and training with IWKA Martial Arts.Please read the procedure and tick both

I have read, understood and agreed to the above declaration

Class Group

School Location

Is there any medical information of which we should be aware of (including asthma, diabetes, seizures or any serious injuries or operations in the last two years, any wellbeing condition or any regular medication?

If you answered 'YES' to Question above, please write details below: