Adult Martial Arts Training Waiver | KSA Martial Academy

Adult Training Waiver | Martial Arts

Must be signed by any and all adults wishing to try out a free class or train at KSA Martial Academy.

"*" indicates required fields

MM slash DD slash YYYY
Participant/ Student Name*
Do you have a nick name, go by your middle name, is there a specific pronunciation of your name? Let us know here.
Personal Pronouns*
Please select all that apply.
MM slash DD slash YYYY
If "Other" was selected, please list your Personal Pronouns here.
Contact Email*
Please enter an email where you can receive class notifications, updates, and which, if you join, you will use to access your account with us.
Please enter a number we can use to contact you, via phone or text, in case of emergency class cancelations or other important notifications.
Equity and Inclusion*
Training Waiver*
Infectious Disease and Injury Agreements*
Physical Appearance*
Health Check*
High Risk Travel*
High Risk Travel*
Recent Diagnosis*
CDC Recommendations Agreements*
Personal Responsibility*
Waiver*
Indemnification*
Let us know when you are coming in so that our Instructors will know to expect you.
MM slash DD slash YYYY
Second date choice for free trial class.
MM slash DD slash YYYY
Emergency Contact*
Acknowledgement*
Self (if 18 years or older)/ Parent/ Legal Guardian(s) only
This field is for validation purposes and should be left unchanged.