Join the E.P. System Self Defense Club

 

We would love to have you join the E.P. System Self Defense Club and become a part of an amazing community. We welcome you to learn and grow with us as we use martial arts to train our mind and bodies.

Please complete our membership online and we will reach out to you with further information. You can also download the form, print it, and bring it to us on your first visit.

 

Name *
Name
Cell Phone
Cell Phone
Home Phone
Home Phone
Emergency Contact
Emergency Contact
Emergency Contact's Phone
Emergency Contact's Phone
Home Address
Home Address
Membership
Health Questionaire
Checkbox
Please select the checkbox if the statement applies to you. If you answer YES to one or more questions, we will need a note from your Physician stating you are physically fit to learn Karate BEFORE you start your training.
I hereby apply into the E.P. SYSTEM KARATE CLUB. I fully understand: That my presence and activities are completely at my own risk, and I do hereby indemnify and forever discharge the said club against and from all liability and responsibility, and from all claims for personal injuries or any loss or damage to person or property sustained by me or injuries or damage to person or property of others caused by me while engaging in karate or in activities of the said club, or while in or near the premises or place of activity of the said club and That I will abide by the rules and regulations and that I will not disgrace the honor of membership, and That I will pay my club fees when due, and in accordance with the regulations set down concerning such dues, and that the fees paid will cover term for that period only, and that no credit or refund in any form shall be made should I not attend trainings for whatever reason.
Date
Date