Gendai Krav Maga – Registration & Indemnity

Who's signing up?

MyselfI'm 18 or older. I'll accept the indemnity and pay for my own membership.

My childThe student is under 18. As their parent or legal guardian, I'll accept the indemnity on their behalf and pay for the membership.

Your details

First name *

Surname *

Date of birth *

ID / passport number *

Email address *

Mobile *

Other telephone

Residential address *

Martial arts experience *

Parent / guardian

You'll be the main contact for the student, you'll accept the indemnity on their behalf, and the membership will be billed to you. Your copy of the agreement will be emailed to you.

First name *

Surname *

Relationship to student *

ID / passport number *

Email address *

Mobile *

Other telephone

Emergency contact

Someone we can call if there's an emergency during training.

Full name *

Relationship *

Mobile *

Medical information

Any serious ailments? *

No Yes

On any medication? *

No Yes

Injuries / past surgery

Allergies

Medical aid

Medical aid number

I confirm good health and fitness to take part in physical training. *

Choose a membership

Billed monthly to your card from the first payment. Cancel with one calendar month's notice.

Training

Start date *

Instructor

Photos and video of the student taken during classes and events may be used on our website and social media. Send me news about gradings, seminars and events.

Indemnity & waiver

Please read the full agreement. The boxes below unlock once you've scrolled to the end.

↓ Scroll to the end of the agreement to continue

I understand that Krav Maga training involves physical contact and a risk of injury. I accept the waiver of claims and indemnity in clauses 1 to 6, including the clauses in bold. I confirm the medical information is true and consent to emergency medical treatment as set out in clause 7. I consent to my personal and health information being processed as set out in clause 8 (POPIA).

Check your details

✓

Indemnity accepted

Your registration has been saved. The last step is to set up the monthly payment for .

Card details are entered on Paystack's secure checkout and never touch our servers. The first month is charged now, then automatically each month.

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Welcome to Gendai Krav Maga

Registration is complete and the membership is active.

A copy of the agreement and the details you gave has been emailed to . Paystack will send a separate payment receipt.

See you on the mat.