BJJ Registration – Central Jamia Mosque Wolverton Milton Keynes

Attendee Name(Required)

First Last

Date Of Birth

Emergency Contact Name

Full Name

Phone(Required)

Injuries(Required)

1. Do you have any physical conditions, including old injures, which may, however unlikely, result in further injury to yourself or others, whilst training? (E.g. Strains, Fractures, Dislocations)

Medication(Required)

Are you currently taking any medication, or undergoing treatment by any form of healthcare practitioner? (E.g. GP, Osteopath, Chiropractor, Homeopath)

Allergies(Required)

Do you have any known allergies? (E.G. Penicillin, Elastoplast’s)

Skin Conditions(Required)

Do you have any infective (skin, blood or other bodily fluid) conditions, which may be passed on to others, no matter how unlikely? (E.g. Hepatitis, HIV, Impetigo)

Notes for above (if you answered yes in any)

Verify Information(Required)

I hereby acknowledge that the information provided above is correct to the best of my knowledge and should any details change, it is my responsibility to inform RSBJJ as soon as possible.

If you have answered ‘yes’ to 1 or more questions and/or have doubts about your physical ability to take part in the RSBJJ sessions, we advise you seek medical advice or consultation before commencing training in order to get permission to proceed. A doctor’s certificate/note may be required prior to training if 3 or more ‘yes’ answers were given to the above. If you have a temporary illness (e.g. flu, fever, feeling unwell), and/or injury, it is advised that you postpone the proposed activity (unless for rehabilitation purposes).

Consent(Required)

I agree to the terms & conditions below

RSBJJ Terms & Conditions

1. The Membership
1.1 Payments are to be made either via cash or via standing order.
1.2 Your membership is a personal membership to you and may not be used by another person or transferred over.
1.3 Your membership will begin straight after you complete this form and is approved by RSBJJ.

2. Fees
2.1 The member must pay the fee which is determined by the membership package chosen (See Page 2).
2.2 If there are any changes to the membership fee, we will communicate this with you at least 14 days in advance.
2.3 Monthly fees are payable even if you chose not to attend the sessions at RSBJJ

3. Cancelling your membership.
3.1 Memberships cannot be cancelled prior to the agreed contract length that you have signed up for and the last payment has been made. A contract may be cancelled once the final payment has been made; this requires 30 days’ notice in writing or other accepted form of communication.

3.2 30 days’ notice is required before the Monthly Membership can be ended.

5. Changing the Agreement.
5.1 We may change this agreement at any time. 14 days’ notice will be given if any changes are made and sent to you via email.

6. Marketing

6.1 By entering into this agreement, I recognize and agree to the use of any videos or photos taken of me within the gym premises or during services or class associated with RSBJJ for marketing and promotion purposes including, but not limited to social media marketing, online and print advertising, and on our website.

7. Code of Conduct

7.1 The member shall respect the behavioural and operative principles and follow them on all occasions. This includes, but is not limited to:

7.2 Being respectful of all members and visitors to RSBJJ

7.3 Wear appropriate and clean attire and maintain proper hygiene at all times.

7.4 Behave in a friendly and respectful manner towards the other members in the gym as well as the staff.

7.5 Not using any offensive or provoking language at any time during the training session.

8. The Club
8.1 RSBJJ may open/close earlier during public holiday periods. Facilities may also close for occasional special events and seminars. Notice of these events will be communicated to you in advance notifying members of any changes. No refunds will be available for these periods.
8.2 We may change the clubs’ opening times or withdraw any of the facilities at any time if we need them for events, tournaments, exhibitions or other special activities.
8.3. RSBJJ sessions may also have to be cancelled due to unforeseen instructor unavailability. In the above circumstances we will use our best endeavours to:

- Give as much notice as is reasonably practicable by emailing you or displaying at the Club
- Arrange for alternative facilities during a period of closure

8.4 Your membership does not give you priority over other users or guarantee the availability of sessions.
8.5 RSBJJ the right to change the activity programme. Prior notice will be given in the club relating to activity cancellations or the introduction of new sessions.

9. Junior Members
9.1 If you are 16-17 (inclusive) your parent or guardian must sign this agreement on your behalf. By signing this agreement your parent or guardian agrees to be responsible for your behaviour and actions at all times and to pay us any amounts that are due on your behalf.

9.2 When you reach 18 your junior membership will end and you will automatically and immediately become a full adult member and sign a copy of this agreement.

10. RSBJJ reserves the right to cancel your membership without notice if you commit a material breach of this agreement including, but not limited to, a breach of the club rules, abuse or threatening behaviour or vandalism or other illegal activity.

Consent(Required)

I agree with below waiver

RSBJJ WAIVER

You agree that you accept all liability for your own safety and wellbeing, and that the club takes no responsibility for any injuries or physical harm that you may experience during or as a result of training. You undertake training at your own risk with full awareness that you may injure yourself and that this is your sole responsibility and outside of control of RSBJJ.

You accept that any pre-existing medical conditions that may affect your ability to safely attend the gym are your responsibility to disclose and to manage, and that the gym's staff are not necessarily trained to provide medical assistance in relation to these or any other medical conditions you may experience or encounter.

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