Licence Application Form

Please complete the form in full.

First Name Surname Date of Birth

Address Post Code E-mail Mobile Number

Medical Condition
If you feel you have any medical condition that may affect your training, it is your responsibility to consult your doctor and you must inform your instructor BEFORE undertaking any exercise.

You must provide details below of any medical condition (eg - Asthma ) Please select current grade Please select required licence Please submit one official passport photo for the licence book Please select your dojo location or school club name?

Club Membership Terms & Conditions

Do you agree to all of the following membership rules?

It is your responsibility to check for lesson updates, venue information plus school holiday course dates on JHKA.CO.UK All communication must be sent via email to JHKA Office You accept that our lesson fees are based on 12 monthly instalment payments for 44 weeks of Karate training You accept that as part of the 12 monthly instalment plan, all 12 instalments including August is due regardless of any holidays planned or non attendance You accept that all payments are to be paid on the first of each month by direct debit or in some cases by standing order If for any reason a lesson is cancelled, you agree to attend training at the next nearest JHKA venue during that week or the following You accept that you must give at least 1 month notice and 1 month full payment should you wish to terminate membership with JHKA

Declaration (Parent /Guardian to sign if applicant under 18 years)

1.) It is my responsibility to ensure that i have an up to date licence.
2.) I do not have any medical conditions that would prevent me from taking part in strenuous exercise.
3.) I have never been convicted of a violent crime
4.) I accept that practising a Martial Art, may involve a risk of injury.
5.) I consent to the use of photography for promotional purposes (eg. JHKA & FKA websites)
6.) Should any classes stop running due to a pandemic or similar situation, you agree to continue your training using the online training platform which will be organised by Chief Instructor temporarily until normal classes resume.

Do you consent to the T&C above?

Consent