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MMA (Mixed Martial Art) Registration
Full Name
*
Age
*
Parent/Guardian's Name
Do you want to register another child?
*
Please Select
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Second Child's Information
Second Child's Name
*
Second Child's Age
*
Do you want to register another child?
*
Please Select
Yes
No
Third Child's Information
Third Child's Name
*
Third Child's Age
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Phone
Emergency Contact Number
Email
Ontario Health Card Number
T-Shirt Size
Size
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S
M
L
XL
Waiver
*
By registering, I agree that:
The akhara is not liable for any loss of property nor injury sustained at or in the gym facility.
I give permission to take and use my pictures or videos on social media or website.
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