Sri Guru Hargobind Paatsahi 6 Gatka Akhara Registration Form by chenboying


									               Sri Guru Hargobind Paatsahi 6 Gatka Akhara Registration Form – Over 18

I (Your Full Name)                                                 aged (above 18):
Accept all of the below:

1. In case of a medical emergency, I grant the Akhara the right to authorize medical care (i.e. contacting a hospital or
emergency services) if none of the persons named below can be reached.

To contact in case of emergency:
Next of Kin:                                    Relationship:                  ___
Home Tel:                             _   _ __ Work Tel:                     ___                 _
Family Physician/Doctor:                                                        ____ __
Indicate any special medical conditions you have:
(i.e. diabetes, asthma):

2. I have no serious health problems that could affect me or others around me while training

3. I understand that the Akhara or Gurdwara volunteers cannot be held responsible for death or injury to me

4. I do not hold Akhara responsible for damage or loss of my property. Furthermore, I assume full responsibility for any
damage to persons or property caused by myself

5. I will not teach what I learn in training to others outside the Akhara

6. I will not use what I learn to intimidate or harm others

7. I must respect all female Akhara members as a sister and male members as a brother. (Relationships other than these
will not be tolerated)

8. I will not use foul or offensive language

9. I understand that the Akhara is run on a voluntary basis. (A donation of £2 a month can be made voluntarily to help
with administration and maintenance costs)

9. I understand that the Akhara has the right to terminate student membership at any time without prior notice.

10. I understand that the Akhara will occasionally send me training related messages via email or SMS

(Please provide your Email: __________________________________ Mobile No: __________________________

Martial art training is a potentially dangerous activity. Before beginning any martial arts training or exercise program, you
should first consult your physician. Bumps, bruises, scrapes, scratches and soreness are commonplace, and most students
will encounter this sort of minor injury from time to time in their training. More serious injuries are possible, including sprains,
strains, twists, cramps, and injuries of similar magnitude, and students can expect to encounter these injuries infrequently.
The possibility of more serious injury exists, including fractured bones, broken bones, and torn ligaments, though not all
students encounter such serious injuries. As with any physical activity, there also exists the remote possibility of crippling or

By signing this document, you are affirming that you understand all the above statement(s) of risk, and accept the
responsibility for any training techniques, advice, and/or methodologies used in training. You assume responsibility for your
own safety, understanding and accepting all risks involved with martial arts training. By assuming this risk, you completely
absolve all authors, creators, trainers and affiliates of the Akhara from liability.

(Signature)                               _____         (Date)


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