Fill out this form Only if you have purchased the 2 weeks trial offer.Note: Trial sessions do not rollover Duration: 2 Weeks Unlimited Class to attendGet a discount on joining fee when you join in full before your 2 weeks trial finishes.Trial starts date (you have 2 weeks from the start date) DD slash MM slash YYYY Student InformationName First Last Date of birth DD slash MM slash YYYY Home Address Street Address PhoneHomeEmail Medical HistoryInjuries/Medical Condition Any Special Learning Requirements or Difficulties OthersHow do you know about our martial arts club ? Please Tick Facebook Google Web Search Website School Flyer Letter Box Flyer Bithday Party Refer from friend Signage Gift Card VIP Card Community FB Community Notice Board Refer from member (name of member) What’s the reason you want to do martial arts?Which centre are you attending? Wetherill Park Carnes Hill Bonnyrigg Heights Waiver(Required) I acknowledge and accept that martial art is a dangerous sport and involves the risk of serious injury. I hereby warrant that I am physically & medically sound to exercise, and have voluntarily elected to do so. I acknowledge that whilst at White Wolf Martial Arts, both my property and my person shall be at my own risk, and I will not hold White Wolf Martial Arts or its staff, directors or volunteers liable for any personal injury or loss of property arising whilst on these premises. Any of the above Terms and Conditions may be changed at the discretion of White Wolf Martial Arts and management at any time. Notification of such changes will either be via email out or posters displayed on our notice board. I have read and understood the above and agree to all terms and conditions of the agreement. Full Name of Parent/Guardian: First Last Signature of Parent/Guardian:Date DD slash MM slash YYYY
