Enrolment Interested in training with us? Please fill out the enrolment form below Student Name * First Name Last Name Contact Email * Phone (###) ### #### Student Date of Birth * MM DD YYYY Gender Male Female Emergency Contact Name * Emergency Contact Number * What classes are you interested in? * Judo Jiu Jitsu Karate Foundation Movement Rolling within the Spectrum Does the student have any health concerns or medical conditions? Please detail below How did you hear about us? Word of mouth Google Facebook/Instagram Other Waiver of Liability * In submitting this form, I acknowledge the following: 1. Assumption of Risk: I understand that participation in martial arts training involves a risk of injury. I acknowledge that by participating in classes at Dojo Ochiba, I am voluntarily assuming all risks associated with such activities. 2. Release: I, for myself, my heirs, executors, administrators, and assigns, hereby release, waive, and discharge Dojo Ochiba, it's owners, instructors, officers, employees, and agents from all liability for any injuries, damages, or losses that I may sustain while participating in activities at Dojo Ochiba. 3. Medical Treatment: I hereby consent to receive first aid and medical treatment if deemed necessary by Dojo Ochiba staff or any medical professional in the event of an injury or illness during participation. 4. Photography Release: I permit Dojo Ochiba to use photographs, videos, or other recordings of my participation for promotional purposes, unless I explicitly request otherwise in writing. 5. Compliance: I agree to follow all rules, regulations, and instructions set forth by Dojo Ochiba and it's staff. I accept I accept on behalf of student (if under 18) Thank you!