Please only fill in this form if you have been instructed to do so by your Sensei Name *Date of Birth *Gender & Pronouns *Contact DetailsEmail Address *Phone *Street Address *CityZIP / Postal Code *Emergency ContactsEmergency Contact 1 *Phone *RelationshipEmergency Contact 2 *Phone *RelationshipMedical InformationDo you have any allergies? *YesNoAllergiesDo you have any medical conditions? *YesNoMedical ConditionsHave you suffered any injury or illness in the last 5 years? *YesNoIllness / Injuries in the last 5 yearsDo you know of any reason why you should not train in martial arts? *YesNoReasons why you should not train in martial artsConsents & Opt InsI understand that my data will be stored in accordance with General Data Protection Regulation (GDPR) and the Data Protection Act.Your OptionsI give consent for photographs and videos to be taken of me/my childI give consent for photographs and videos of me/my child to be used in promotional material for the ClubI give consent for photographs and videos of me/my child to be used on Club social media pagesI give consent for my email address to be added to the Club mailing list for official Club news and updatesI give consent for my phone number to be used by the Club to send me important (time sensitive) SMS updatesI give consent for my phone number to be used to add me into relevant Club WhatsApp Groups (or other group chats)You can change your mind at any time by informing us in writingPaymentMembership FeeOur membership fee is £30 due annually and covers insurance and registration to the British Combat Karate Association, who are recognised by the British Combat Association, and the English Karate Federation.Credit / Debit Card *Save & SubmitPlease do not fill in this field.