Print this form and complete it before first class.

Children (Under age 18)  Registration Form

Waiver of liability

• I  __________________________________ Parent of   ________________________ am of sound mind and body.
• I acknowledge that I am enrolling my child in a martial arts program.
• I acknowledge that I am over the age of 18.
• I understand and am fully aware of the fact that my child will be involved in a sport that involves: hitting, wrestling, joint manipulation and limb extension. I understand that these above mentioned acts that can cause my child bodily harm.
• In the event that my child is injured or suffers any short-term or long-term physical harm in any way, shape or form, I release The Oaks Christian School, Crossroads Community Church and the instructor from any and all liabilities including but not limited to medical, hospital, paramedic or ambulatory care.
• I release The Oaks Christian School, Crossroads Community Church and the instructor from any and all injuries including life - threatening trauma and/or death.
• I further acknowledge that by signing this form, I cannot hold The Oaks Christian School, Crossroads Community Church and the instructor liable for any injuries or harm inflicted on my child during practice.

Participant (Print):______________________________________________

Parent’s Name (Print) ___________________________________________