Complete this form to enroll your child in a monthly karate program. You will receive a signed PDF copy by email.
Policies & waivers Please read each section carefully and write your initials in the box.
Assumption of risk I understand that martial arts training involves physical activity and carries inherent risks of injury. I voluntarily assume all risks associated with participation in Oliver Martial Arts Academy programs and activities.
Release of liability In consideration of participation, I release Oliver Martial Arts Academy, its owners, instructors and employees from any and all liability for injury, loss or damage arising from participation in any program, class or activity.
Indemnification I agree to indemnify, defend and hold harmless Oliver Martial Arts Academy and its staff from any claims, damages, losses or expenses (including attorney’s fees) arising out of or resulting from my child’s participation in academy activities.
Medical consent In the event of an emergency, I authorize Oliver Martial Arts Academy staff to seek medical treatment for my child if I cannot be reached. I acknowledge that I am responsible for all medical expenses incurred.
Photo / video release I grant Oliver Martial Arts Academy permission to photograph and/or video record my child for promotional purposes including social media, website and printed materials.
Break policy I understand that if my child needs to take a break from classes, a written 30-day notice is required. If a break is not properly scheduled, I remain responsible for tuition. Breaks may be granted at 50% tuition at the discretion of management.
Parent / guardian signature * I, as parent or legal guardian, acknowledge that I have read and fully understand the policies and waivers above, and that my typed name and drawn signature constitute my legal signature.
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Clear signature I can’t draw: use my typed name as my signature Date:
Certification & signature Parental consent (children’s privacy) I confirm that I am the child’s parent or legal guardian and that I am at least 18 years of age.
I am providing my child’s information voluntarily, and I consent to its collection and use by Oliver Martial Arts Academy for registration, safety and communication purposes only, as described in the Privacy Notice. I may review, correct or revoke this consent at any time by contacting oma@omakarate.com.
Privacy Notice · Terms of Use (opens in a new tab)
Certification * I certify that I am the parent or legal guardian of the student(s) listed above, that I have read and understood all policies and waivers, and that all information provided is accurate and complete. I agree to abide by all rules and regulations of Oliver Martial Arts Academy.
Sign with your mouse or finger
Clear signature I can’t draw: use my typed name as my signature Date:
Acknowledgment I certify that I have fully read, understood and agree to all terms and conditions in this registration form. I understand that all payments are non-refundable and that I am responsible for following all OMA rules and guidelines.
