South Hams Taekwondo
Licence Application
 
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Licence: New Renewal
Training school:
School code:
Discipline:
Licence type:
Male Female DoB:
Date commenced training with P.U.M.A:

Title:
Surname:
Forename:
Address:
Post code:
Tel No: (inc code)
Work No:

Do you suffer from any physical disabilities? Yes No
If yes please list:
Any special needs or requirements? Yes No
If yes please list:
Have you ever been convicted of a crime of violence? Yes No
If yes please explain

Existing licence No:
Expiry date:
New licence expiry date:
Licence fees: (inc VAT) £25.00 Dual licence: yes no
Please list other family members (Names(s) & licence numbers:
Name
Name 2
Name 3
Name 4
Charges/transfers etc:  
 
1.     I understand that a Martial Art is physical and involves forceful contact with instructors, students, competitors and objects.  

2.     I accept that there is a risk of injury in learning and practising Martial Arts.

3.     I agree that I shall not hold P.U.M.A. nor any of its schools, instructors or students liable for any injury that I may sustain whilst learning and/or practising Martial Arts.

4.     I agree to abide by the rules and regulations of the P.U.M.A. should I be accepted as a member.