Nippon Uk - Schools Registration Form. Nuk/sr1 printable pdf download

NIPPON UK - SCHOOLS REGISTRATION FORM.

NUK/SR1

PLEASE PRINT IN BLOCK CAPITAL LETTERS, COMPLETING ALL SECTIONS OF THIS FORM.

Parents or Guardians please note, applications not fully completed cannot be processed by our office.

Please notify your child’s instructor or the Nippon UK office with any changes in contact details or address.

PERSONAL DETAILS.

Student Forename (s) .................................................................

Student Surname .................................................................................................

Name & Location of School ................................................................................................................................................................................................

D.O.B ...........................................................................................

Address ...............................................................................................................................................................................................................................

...............................................................................................................................................................................................................................................

........................................................................................................

Postcode ..............................................................................................................

Telephone .....................................................................................

Mobile ...................................................................................................................

E Mail ...................................................................................................................................................................................................................................

Nippon UK would like to contact you with relevant information, such as, class cancellations, gradings, competitions and promotions throughout the

year. By submitting this registration form, you will be indicating your consent to receiving E-Mail and SMS marketing messages from Nippon UK.

If you have any objections to receiving these messages you can opt out of this service at any time by contacting the Nippon UK office by telephone,

post or via an e-mail to

EMERGENCY CONTACTS.

Emergency Contact (1)

Emergency Contact (2)

Full name ............................................................................................

Relationship ........................................................................................

Telephone ............................................................................................

MEDICAL DETAILS.

Please list any relevant medical conditions, medication or special requirements for our records. Please be aware that as parent or guardian, it is your

sole responsibility to inform your instructor or the Nippon UK office with any changes in medication, circumstances or requirements for your child.

PHOTOGRAPHY POLICY.

Child protection is paramount to our team. At Nippon UK events throughout the year, our team take photographs for the Nippon UK website.

If you do not wish your child’s picture to be included on our website, please tick this box

and you will be issued with a special wristband

for your child to wear, and wherever possible your child will be omitted or obscured from our images.

We would also like to take this opportunity to point out that under the Data Protection Act 1988 parents or guardians are only allowed to take

photographs and videos of their own children, for their own personal and private use. Our Child Protection Policy and this information will

be clearly displayed at every Nippon UK event. The staff and management at Nippon UK cannot be held responsible for any breaches of the

Data Protection Act 1988 by other parents or guardians after circulation of this information.

PARENT OR GUARDIAN DECLARATION.

On completion of this form of registration to Nippon UK, I permit my child to take part in the sporting activity of Ju Jitsu. I also, fully accept and

understand that participation in a martial art can carry the risk of serious injury.

Full Name .......................................................................

Signature ...................................................................

Date ...................................

To find out more information and get the latest news, visit or follow us on...