Join the Honbu dojo Name and Surname of Karateka Date of Birth Age of Karateka Physical Address Contact Number Email Address Please state whether there are any medical conditions or operations that we should be aware of Do you give us permission to have you/your child featured on our social media platforms? YesNo I do not hold SA JKA or any Honbu Dojo instructor responsible for any injury which may occur to me while in attendance at the Honbu Dojo, whether an instructor is present or not. Yes, I agree I hereby enrol as a member of Honbu Dojo for training in the art of Karate and agree to the terms and conditions stated at the top of this form. Yes, I agree I, the undersigned, do hereby interpose and bind myself as surety and co-principal debtor with the aforesaid member of the due payment of the amount provided for the above and for the due observance of all the terms of the above contract, and I acknowledge that I agree and confirm that have no claim for injury to the member as stated above. Yes, I agree Today's Date
