Waiver of Liability Student Info * First Name Last Name Student Date of Birth MM DD YYYY Which class interests you the most? Little Tigers Shotokan Karate Okinawa Kobudo Krav Maga Single Session Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone * (###) ### #### Please let us know if you have any physical limitations, special needs, or medical conditions we should be aware of to keep you safe during training. I have read and understand the Waiver of Liability Section - Electronic Signature (Parent/Guardian's Full Name if student is under 18) * Thank you for your submission! We’re excited to meet you and will be in touch soon to schedule your orientation class.
