Licence Form

Complete the on-line licence application form. Don't forget a payment must be accompanied with the form. Please choose a child or Adult (18 yrs plus) licence

First name (Student) Surname Date of Birth

Address Post Code what licence do you require? Club name Telephone / Mobile E-mail Address

The following information should inform us of the person participating in the class.

BEFORE undertaking any exercise. You must give details in this box of any known medical condition (eg asthma). If there is no such medical condition, please write None in the box.

You have read the rules of Forza Karate Club and agree to them

The parents/Guardian of the child licensing named above, hereby give Forza Karate Club / FKA permission to use any still and/or moving image being video footage,

Parental Consent Form / Photography /Video

Do you have any medical condition that would stop you participating in learning Karate?

Photographs and/or frames and/or audio footage depicting my/our Children named above for any of the following uses • Advertisements, marketing, leaflets, or any other use such as for training, educational or publicity purposes.

The above consents will apply throughout the world and be for an indefinite period. I agree to the terms as written on this form.

By agreeing to all the above and pressing the Continue button, you agree to the terms and conditions of Forza Karate Club.

Should any lessons stop at any venue ran by Forza Karate, you agree to attend training at the nearest Forza Karate club. Should any clubs stop running due to any pandemic and karate sessions continue online, you agree to continue your training using the online training tool/platform as agreed by your instructor.

Once you confirm using the button below, you may need to scroll screen up and then submit form.