Registration Form

Registration Form

We require all new members to complete this form for safety, registration purposes, and to receive future information about our gym and classes.
Customer Details:
Full Name (If you are a Parent or 18+)*

First NameLast Name
Birth date

MonthDayYear
Date
Parents please sign below if you are registering a child under 18
Full Name (Child Name 1)

First NameLast Name
Birth Date (Child 1)

MonthDayYear
Date
Full Name (Child Name 2)

First NameLast Name
Birth Date (Child 2)

MonthDayYear
Date
"Do you have any allergies we should be aware of? If yes, please list them:
Phone Number*
E-mail*
example@example.com
Address*

Aditional Address information

CityState / Province

Postal / Zip Code
My Products
prevnext( X )
Adult Pass (14+)BJJ + MMA/KICKBOXING + 14+ WRESTLING
$100.00CAD



KIDS Wrestling + KIDS BJJ08 TO 13 YO - 2 MODALITIES
$195.00CAD



KIDS KICKBOXING 08 TO 13 YO - ONE MODALITY
$100.00CAD



KIDS BJJ (only)05 TO 12 YO - ONE MODALITY
$125.00CAD



KIDS WRESTLING (only)08 TO 13 YO - ONE MODALITY
$125.00CAD



WOMEN'S ONLY KICKBOXINGWOMEN'S ONLY KICKBOXING
$70.00CAD



Total

$0.00CAD
On your first class, please stop by the front desk to fill out the credit card authorization form for automatic monthly payments. Simply ask your coach for the form, sign up, and submit it at the gym.
By joining The Team, you acknowledge and accept that participation in our martial arts classes and activities involves inherent risks, including but not limited to, the risk of property damage, loss, and personal injury. You agree to release, waive, and hold harmless The Kaien Island Team, its instructors, staff, and affiliates from any claims or liability for any injuries or damages sustained as a result of participating in our programs. You understand and accept full responsibility for any and all risks associated with your participation, including personal injury, property loss, or damage. Your decision to participate is at your own risk, and you agree to take full responsibility for your actions and well-being during classes and on the premises.
I agree to the security and authorization terms
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