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Online Application Form

Before filling out the application form below please take a moment to read the clubs terms and conditions here. Your email address and personal details are for club use only and will not be shared or distributed to any third parties.

This form is for Persons of 18 years or older. Anyone under 18 years of age please use the pdf form and return it to the club.

N:B All fields are required

Your Name
       
Address
Email Address
       
Phone Number
       
Date of Birth
       
Ocupation
       
Do you have an illness/injuries that may affect your ability to take part in physical activity. Please specify.
Reasons for commencing Martial Arts/Fitness training.
Have you studied any other Martial Arts previously. If yes please give details.
Are you interested in private or group classes
If you selected private please select day and time that best suits you.
**You will receive a phone call to confirm class time**
Would you like to sign up to our newsletter
How did you hear about us

I declare I am over 18 years of age. I have read Martial Arts Incorporated's terms and conditions and agree to abide by all club rules and regulations.