EMPOWERED KRAV MAGA Sign Up Form
  • EMPOWERED KRAV MAGA

    EMPOWERED KRAV MAGA

    Digital Sign Up Form

  • Personal & Contact Information

  • Date of Birth
     - -
  • Format: 0000000000.
  • Format: 0000000000.

  • If you are under 18 years old

    Parent/Guardian must complete
  • Format: 0000000000.

  • Training Preference

  • Do you have prior martial arts or self-defence experience?
  • How did you hear about us?
  • Are you interested in grading/level progression?

  • Health & Medical Information

  • Do you have any medical conditions, injuries, disabilities, or recent surgery that may affect your training?
  • Do you have any allergies (e.g. to mats/equipment)?

  • Additional Agreements & Consents

  • Payment Option (choose one)

  • Payment information


    Cash or Card available


    Bank Transfer

    Elizabeth Parrag
    BSB: 034221
    Account: 947156


    PayID

    M: 0434003991 

     

  • Payment & Cancellation / Refund Policy (applies to the option you chose above)

    For Pay-per-Session:

    • Your place for each session is confirmed once payment is received.
    • Cancellations up to 24 hours before class will receive a full refund or credit to a future class.
    • Cancellations less than 24 hours or no-shows will result in no refund.
    • If I cancel the class you will receive full refund or credit.

    For Monthly Subscription:

    • You can cancel at any time with 14 days’ written notice (text or email).
    • Subscription continues until the end of the current billing month.
    • Missed classes (no-shows) are not refunded unless 24 hours’ notice is given and a make-up is possible at my discretion.
    • If I cancel a class you will receive credit or refund for that session.

    All cancellations must be sent by text or email to 0434 003 991.

  • Photo / Video Release (for marketing & social media)

  • Final Confirmation

  • Date*
     - -
  • Should be Empty: