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Black Sails BJJ
Hodray Muay Thai
Meet The Team
Black Sails BJJ
Hodray Muay Thai
Meet The Team
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Name
Date Of Birth
First Line of Address
Second Line of Address
City/Town
Postcode
Parent/Guardian Name
Parent/Guardian Contact Number
Parent/Guardian Email
Relationship
I, the undersigned, hereby acknowledge that I have voluntarily chosen to participate in the submission grappling activities offered by Black Sails. I understand that these activities involve inherent risks, including but not limited to physical exertion, bodily injury, and other unforeseen events that may arise during participation.
I, the undersigned, hereby acknowledge that I have voluntarily chosen to participate in the submission grappling activities offered by Black Sails. I understand that these activities involve inherent risks, including but not limited to physical exertion, bodily injury, and other unforeseen events that may arise during participation.
I certify that I am physically fit and have no medical or health conditions that would prevent my full participation in this activity. I have disclosed all relevant health information above, and I accept full responsibility for monitoring my physical condition during the course of training.
I certify that I am physically fit and have no medical or health conditions that would prevent my full participation in this activity. I have disclosed all relevant health information above, and I accept full responsibility for monitoring my physical condition during the course of training.
I understand that it is my sole responsibility to inform my instructor of any changes in my health or any conditions that may affect my safety during the training sessions. I acknowledge that the information provided on this form will not be shared with any third parties.
I understand that it is my sole responsibility to inform my instructor of any changes in my health or any conditions that may affect my safety during the training sessions. I acknowledge that the information provided on this form will not be shared with any third parties.
By checking this box, I agree to release and hold harmless Black Sails, its instructors, employees, and affiliates from any and all claims, actions, or losses that may arise as a result of my participation in submission grappling activities. I understand that this waiver is binding and that by signing, I am waiving certain legal rights.
By checking this box, I agree to release and hold harmless Black Sails, its instructors, employees, and affiliates from any and all claims, actions, or losses that may arise as a result of my participation in submission grappling activities. I understand that this waiver is binding and that by signing, I am waiving certain legal rights.
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Client Details
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Step
1
of 3
=ji
Name
*
Date
*
First Line Of Address
*
Second Line Of Address
*
City/Town
*
Postcode
*
Next
Emergancy Contact Name
*
Emergancy Contact Number
*
Emergancy Contact Email
*
Relationship Contact 1
Relationship
*
Next
Confirmation 1
*
I, the undersigned, hereby acknowledge that I have voluntarily chosen to participate in the submission grappling activities offered by Black Sails. I understand that these activities involve inherent risks, including but not limited to physical exertion, bodily injury, and other unforeseen events that may arise during participation.
Confirmation 2
*
I certify that I am physically fit and have no medical or health conditions that would prevent my full participation in this activity. I have disclosed all relevant health information above, and I accept full responsibility for monitoring my physical condition during the course of training.
Confirmation 3
*
I understand that it is my sole responsibility to inform my instructor of any changes in my health or any conditions that may affect my safety during the training sessions. I acknowledge that the information provided on this form will not be shared with any third parties.
Confirmation 3 (copy)
*
By checking this box, I agree to release and hold harmless Black Sails, its instructors, employees, and affiliates from any and all claims, actions, or losses that may arise as a result of my participation in submission grappling activities. I understand that this waiver is binding and that by signing, I am waiving certain legal rights.
Single Line Text
Submit
