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Registration Form

Student Information

Birthday
Year
Month
Day
Gender
Male
Female

Parent/Guardian Info

*for students under 18*

Terms & Conditions

Release and Waiver of Liability

I voluntarily assume all risks of accident or damage to self (or dependent), or loss thereof. 


I do herby release Silent Tiger Martial Arts and all parties involved with the teaching of this program, the training of its instructors, and members and representatives of this program, or the locations in which this program is taught, from any personal injury, emotional or bodily harm, or disability (including death) sustained or suffered by me (or my dependents) during, arising out of, or as a result of any activity associated with this program. I further release said individuals and company from all claims of liability for any property or valuables, lost, mislaid, or stolen.

Date
Year
Month
Day
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