BATTLE ARTS ACADEMY

Battle Arts Academy Trial Form & Waiver of Liability & Assumption of Risk Agreement

4880 Tomken Rd, Mississauga, ON L4W 1J8

Phone: (289) 622-8853

Email: [email protected]

MEMBER INFORMATION

First Name (Member) *

Last Name (Member) *

Address *

City *

Province *

Postal Code *

Cell Phone (If minor use parent/guardian) *

Email (If minor use parent/guardian) *

Date of birth (YYYY-MM-DD) (Member) *

Sex (Member) *

Sex

Male
Female
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Which class would you like to try?

No-GI BJJ
Boxing
MMA
Professional Wrestling
Amateur Wrestling
Kids BJJ
Muay Thai
Personal Training
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Have you trained at another gym before?

Yes
No
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PARENT / GUARDIAN INFO FOR MINORS (UNDER 18)

Parent / Guardian First Name

Parent / Guardian Last Name

PLEASE READ CAREFULLY BEFORE SIGNING. THIS DOCUMENT AFFECTS YOUR LEGAL RIGHTS.

I HAVE READ AND UNDERSTOOD THIS WAIVER OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT. I UNDERSTAND THAT BY SIGNING THIS DOCUMENT, I AM WAIVING CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE RELEASED PARTIES. I SIGN THIS AGREEMENT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Note: Participants under the age of 18 must have a parent or legal guardian sign this Agreement on their behalf.

Participant Signature

Clear

I, the undersigned, certify that I am the parent or legal guardian of the participant named above, and I have read and understood this Agreement. I consent to the participant's participation in the Activities and agree to be bound by all the terms and conditions of this Agreement.

Parent/Guardian Consent (For minors)

Clear

Communication Opt-in *

I agree to receive communications from Battle Arts regarding events, promotions, and updates. I understand that I can unsubscribe at any time.

Upload Your Picture (Member) *

Upload Your Picture

Copy of your Photo ID (If minor use parent/guardian) *

Any ONE of the following: Passport, Drivers License etc.

This Waiver of Liability and Assumption of Risk Agreement is intended to be as broad and inclusive as permitted by the laws of the Province of Ontario. Participants are encouraged to seek independent legal advice if they have any questions regarding the implications of signing this document.