Parental Consent Form for Martial Arts Classes
Minor's Information
Full Name of Minor
Date of Birth
Age
Parent/Guardian Information
Full Name of Parent/Guardian
Phone Number
Email Address
Emergency Contact
Name
Relationship
Phone Number
Medical Information
List any allergies or medical conditions
Consent
I, the undersigned, am the parent/legal guardian of the above named minor and give my consent for participation in martial arts classes. I acknowledge the risks associated with martial arts and will not hold the instructors or facility liable for any injuries.
Parent/Guardian Signature
Date