Student Name *

Please complete and sign this form prior to participating in classes or fitness programming at ‘Ohana Martial Arts. Completed forms must be submitted online.

First Name

Last Name

Phone *

(###)

###

####

Secondary Emergency number *

(###)

###

####

Would you like to receive emails about future dojo happenings? *

Yes

No

I already get emails

Permission to use images of your student 'Ohana Sports is authorized by to use video or photographs of you student for advertising, publicity and public relations. Video-footage will only be used by 'Ohana Sports. No further claims may be made. If there is a court ordered safety issue with use of photos/videos such as foster children please let us know in advance.

Agree

Discipline is used to insure safety for all staff and students. All students are expected to respect themselves, others and all property at all times. Students who are disrespectful or are unsafe and are interrupting programing will be removed from the Spartan Club, parents and school administration at WHEA will be notified. Ohana Sports reserves the right to refuse any student from future programming. I give Ohana Sports the authority to exercise these discipline policies in regard to my student. *

Agree

Full Responsibility Waiver I, _____________________________, take sole responsibility for any personal injury I (or my participating family members) may incur over the course of any and all 'Ohana Sports programs we may participate in. I acknowledge that participation in this program exposes me to potential risks and I release all instructors or fitness coaches from any and all liabilities regarding an injury and will cover all medical costs associated with injuries from participation. I shall not now or in the future prosecute any lawsuit against 'Ohana Sports or its directors, board of directors or instructors. I’m aware that this agreement will be legally binding. I have read and understood this Injury Waiver and Medical Release Form as a participant or a parent/guardian. *

Agree

Commitment *

My student commits to participating and working hard during club time. If my student decides to forfeit their spot or no longer wants to participate I will notify 'Ohana Sports by emailing ohanaselfdefense@gmail.com . Any student who no shows 2 clubs without making any contact will lose their spot and it will be offered to those on the wait list, should there be one.

Agree

My Student Wants to Participate in Spartan Club *

While we are all for students trying new things, please don't sign up for this club if your student doesn't like running, sweating and working hard.

Agree