Join Genesis Martial Arts Classes in Buckinghamshire & Oxfordshire

Student Name

First Last

Date of Birth*

Gender*

Male
Female

Instructor*

Address*

Address Line 1 Address Line 2 City Post Code

Phone*

Email*

Email 2

Emergency Contact Name*

Emergency contact relationship to student*

Emergency contact number*

Emergency Contact Name 2

Emergency contact relationship to student 2

Emergency contact number 2

Suit size*

The suit size relates to the height of the student. If you are unsure which size to choose, please measure the students height and pick the nearest.

Are you a new comer to exercise?*

Yes
No

Whilst every care will be given to the best of the instructor's ability, it is up to the individual to know their limitations.

If you have been inactive for many years we would strongly advise you to visit your Dr for a check up before joining any classes.

Do you have any health issues which Genesis instructors should be aware of before you commence training with us?*

Yes
No

Health issues

Please list details of any health issues that Genesis Instructors should be aware of which would affect your ability to train either online or in person. Please include any illnesses, injuries, allergies and or learning difficulties.

Declaration and First Aid Consent*

I agree to Declaration and First Aid policy

I understand that the practise of Martial Arts activities at the above school is entirely at my own risk. I shall not hold responsible, at the school, its Principal, Officials or Instructors, or any of my fellow members for any injury I may sustain.

I also give Genesis Martial Arts Instructors consent to administer emergency first aid if necessary.

Photography and filming consent.*

I agree to Photography and filming consent form

During the course of yours or your child’s training with Genesis Martial Arts we may wish to take photographs and or videos of activities that include you or your child/ren. Photographs and video may be used for displays, publications and on any social media websites and for the promotion of Genesis Martial Arts.

Before taking any photographs or videos, we request your permission. Please answer the questions below, sign and date the form and return it to your instructor.

With this being a Safeguarding issue, we will not allow any photos or videos be taken or used for students under without parental consent.

Should you see any images or videos on social media that you wish removed, please contact Genesis Martial Arts at enquiries@genesisma.com asap and we will do our best to remove it.

I give Genesis Martial Arts permission to take photographs and / or video of my child. I grant Genesis Martial Arts full rights to use the images resulting from the photography/video filming, and any reproductions or adaptations of the images for fundraising, publicity or other purposes to help achieve the group’s aims. This might include (but is not limited to), the right to use them in their printed and online publicity, social media, press releases and funding applications.

Join Genesis Martial Arts Classes

New Student Membership Form

Whilst every care will be given to the best of the instructor's ability, it is up to the individual to know their limitations.