MTG Membership Registration Form

Fighting Fit Gym cc t/a MTG (Magua Taekwon-Do Group) Central

MTG Membership Registration Form
MTG Club *
MTG Class *
Name (of Member) *

First Name Last Name
Photo of Member

Browse Files

Cancel of
Date of Birth *

Day Month Year
Date
ID #/ Passport #
Email *
example@example.com
Cell Number *

Area Code Phone Number
Address

Line 1

Line 2

Suburb

Postal Code
Payment Method *
NB. Please complete Debit Order form if this Pmt Method is selected, Debit Order Form Link also under Forms on www.tkd.co.za web page
in case of Emergency
Medical Conditions
Emergency Contact Person *
Emergency Cell *
Your Relationship *
Medical Aid Company (NB if have)
Medical Aid Number
How did you hear about us? *
if other, please specify *
Indemnity

Consent of Risk:

I understand even though great care is taken, there may be a risk in the learning and practice of Taekwon-Do/Cardio Fighting Fit Kickboxing by which there is a possibility of serious injury or even death, as in most sports & physical activities. I agree as a condition of membership not to hold the venue, Fighting Fit Gym cc t/a MTG Fighting Fit Central, MTG Taekwon-Do Clubs, Taekwon-Do South Africa, Instructors, Members, Employees or visiting practitioners liable for any injury or loss whatsoever. I have further undergone a medical examination and was declared fit and well by a qualified medical practitioner for receiving training in the Martial Arts/ Cardio Fighting Fit Kickboxing. I am aware of the rules and regulations of the club where I will be receiving martial arts training and agree to abide by them.

I also understand the payment policy of the club as explained in the information sheet under important notes.
Registration Date *

Day Month Year
Should be Empty:

Fighting Fit Gym cc t/a MTG (Magua Taekwon-Do Group) Central