New Student Registration

Please complete the following New Student Registration form, then select your payment option below.

AGREEMENT AND LIABILITY WAIVER
X – I, the undersigned, do hereby, for myself and/or my child, my heirs, executors, administrators, and assigns waive,
release, and forever discharge any and all rights and claims for damages which I may have or which hereinafter accrue to me
against Indian Springs Family Karate, including Mr. Kevin L. Downard Jr., its officers, agents, representatives, successors, and/or assigns, for any and all damages which may be sustained and suffered by me in connection with my association with or entry in any practice, class, contest, tournament, examination, demonstration, testing, promotion, or any athletic event of the school, or which may arise out of my traveling to, participating in, or returning from such endeavors.
X  – I, the undersigned, further agree to waive any claims against Indian Springs Family Karate and/or Mr. Kevin L.
Downard Jr. and/or any and all instructors connected with Karate Lessons, Weapons Lessons, demonstrations, and/or
tournaments for any injuries I may sustain.
X – I, the undersigned, fully understand that “Karate” is a CONTACT SPORT, and I am responsible for my own medical
coverage.
X – I, the undersigned, understand there is a monthly obligation to participate in this activity to be paid on the last week of
the month and no later than the 1st of the month . If paid after the 1st , there will be a $10.00 late fee. A karate uniform is required to participate
and can be purchased from the dojo.
(By entering your digital signature below you are agreeing to this legal agreement and liability waiver)

New Student Registration (Includes annual $20 registration fee)
Child’s First and Last Name
Parent’s Digital Signature