Loading...

Buddy Week Intake Form


  • Make Required

  • Make Required

  • Make Required

  • Make Required
  • Registration Acknowledgement and Release Form

    The participant hereby releases East Coast Karate., its directors, officers, instructors, members and authorized guests from any and all actions, causes of action, claims and demands whatsoever for damage, loss or injury, however arising which may hereafter be sustained in consequence of attending this trial classes or participation therein and also agree that East Coast Karate shall not be responsible for any loss or theft of the participant's personal possessions however caused.

    The participant agrees that he or she may be photographed or filmed while attending at the premises of East Coast Karate. and the participant gives permission to East Coast Karate., and any affiliates to use any and all photos, video footage, and/or video streaming for promotional, sales, publicity, and advertising purposes for all media including internet. 

    If the participant is under the age of 18 years, the undersigned parent or guardian acknowledges his or her agreement to the terms and release provisions set out above.



 


go back

Processing

One moment please.

Thank you.