Parent/Guardian Information (if athlete is under 18)
Alternative Emergency Contact
I understand that all sports carry a risk of injury and that Mozhdeh Martial Arts is not responsible for injuries or loss suffered as the result of participating in these activities.
From time to time Mozhdeh Martial Arts will post photographs of our athletes, coaches, and supporters online. I will let Mozhdeh Martial Arts know by email if I do not consent to my or my child’s photos being shared.
Mozhdeh Martial Arts will give 30 days written notice of any fee increase.
In the event of an injury or medical emergency, I allow Mozhdeh Martial Arts to provide first aid, arrange transport to a medical facility, and authorise emergency treatment as recommended by a doctor for the athlete named above.
I understand that all reasonable efforts will be made to contact the athlete’s parent and/or emergency contact if an injury or medical emergency occurs.
BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.