Step 1:
Please complete the form in full and submit.
Step 2:
Hand in Licence book and renewal fee together at next class.
Step 3:
Ensure payment is made before licence book expiry date (Check inside first page of licence book).
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 )
*
What is your/Child(s) current grade?
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Select an option:
18th Kyu - White Belt
17th Kyu
16th Kyu
15th Kyu
14th Kyu
13th Kyu
12th Kyu
11th Kyu
10th Kyu
9th Kyu
8th Kyu
7th Kyu
6th Kyu
5th Kyu
4th Kyu
3rd Kyu
2nd Kyu
1st Kyu
1st Dan - Junior Black Belt
1st Dan - Black Belt
2nd Dan - Junior Black Belt
2nd Dan - Black Belt
3rd Dan - Junior Black Belt
3rd Dan - Black Belt
6 digit EKF Licence Number
*
Expiry date of current licence
*
Please note if your current licence has expired you must renew using the Late Licence Payment option
Please select required licence
*
Select an option:
Child Renewal (£45.00)
Adult Renewal (£49.00)
Expired Child Licence (£55.00)
Expired Adult Licence (£59.00)
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.
Consent
*
Select an option:
Yes I Agree to the T&C above
Once form is submitted, licence book and payment must be handed in at your next lesson (within 7 days).
If your childs licence book and payment is handed in after the licence expiry date, this will be deemed a 'late licence' and the expired licence fee will be due.
Do you consent to the T&C above?
Consent
*
Select an option:
Yes I agree to the terms of the expired licence fee
*
indicates required fields