Bonsai Chi Online Sessions Registration form

Bonsai Chi Online Sessions

Please complete the form below to sign up for our online sessions
Name *

First Name Last Name
Birth Date *

Day Month Year
E-Mail *
Phone Number *

Area Code Phone Number
How did you hear about us? *
PLEASE READ CAREFULLY

In consideration for my attendance and participation in exercise classes and personal development offered by Red Eagle Martial Arts, I, the parent / student, acknowledge the existence of inherent risks in this type of training and hereby agree to assume all risks. I further relieve the school, its management, assigned staff and fellow students from any liability resulting from loss, whether personal belongings or bodily injury. I also hereby state, that myself, or my child, is physically fit to take the prescribed course of instruction and do so of my own free will.
DO NOT E-SIGN UNTIL YOU HAVE READ THE ABOVE STATEMENT.

By my eSignature below, I certify that I have read, fully understand and accept all terms of the foregoing statement. Please signify your acceptance by entering your full name in the box below
Waiver of Liability Signature *

I accept the terms above
eSignature *
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