Member Registration Form

    NOTE: You can use this form to register multiple members at once if they all share a single Main Contact Phone Number. If each member of the same household wishes to receive notification Text Messages to their own individual phone numbers, please submit the form 1 person at a time.


    Club Details

    Club(s):

    Select each club that you / your family train at. You may select more than one.


    Contact Details

    Home Address:
    Eircode:

    Email:


    Main Contact Number

    Please provide one mobile phone number at which you can receive SMS (text) messages.
    This number will only be used by Warrior Martial Arts to inform / remind students of training details (class cancellations, exam times, holidays, etc.).

    Phone:
    Contact Person's Name:


    Other Contact Number

    For junior students, please provide at least one other contact name and number.
    For senior students, if filling this phone out for yourself, please provide an emergency contact number (e.g. partner, family member, doctor, etc.).

    Phone:
    Contact Person's Name:


    Student Details

    First Name:
    Last Name:
    Date Of Birth:


    DO YOU HAVE ANY LONG-TERM PHYSICAL INJURIES OR MEDICAL CONDITIONS (INCLUDING ALLERGIES)?

    If YES, please give details (otherwise leave unchanged):


    ARE YOU TAKING ANY MEDICATION AT PRESENT?

    If YES, please give details (otherwise leave unchanged):


    DO YOU HAVE ANY SPECIAL MOBILTY OR LEARNING REQUIREMENTS?

    If YES, please give details (otherwise leave unchanged):


    DO YOU HAVE ANY PAST CONVICTIONS RELATING TO VIOLENCE / ASSAULT?

    If YES, please give details (otherwise leave unchanged):

    Tip: Click the + button below to add another person.
    Click the - button to remove a person.

    DATA PROTECTION NOTICE:

    WARRIOR MARTIAL ARTS is committed to protecting and respecting your privacy. For any personal data you provide for the purposes of your membership, WARRIOR MARTIAL ARTS is the Data Controller and is responsible for storing and otherwise processing that data in a fair, lawful, secure and transparent way. The data that you provide to WARRIOR MARTIAL ARTS is only used for the effective administration of our clubs, and for obtaining insurance for same. WARRIOR MARTIAL ARTS data processing may require your personal data to be transferred outside of Ireland for the purposes of digital ‘cloud’ storage, and to our insurers in the United Kingdom. Where WARRIOR MARTIAL ARTS does transfer your personal data overseas or to third parties it is with the appropriate safeguards in place to ensure the security of that personal data. We will maintain a database for all current members and this will enable us communicate with you as and when necessary. Relevant information will be forwarded to our insurers as required by their policies. We will hold your personal data on file for as long as you are a member with us. Member’s data is updated every year on annual membership forms. Any personal data we hold on you will be securely destroyed after a maximum of 18 months of inactivity on that member’s account. Your data is not processed for any further purposes other than those detailed in this policy. As a data subject you may have the right at any time to request access to, rectification or erasure of your personal data; to restrict or object to certain kinds of processing of your personal data; to the portability of your personal data and to complain to the Data Protection Commissioner’s Office about the processing of your personal data. As a data subject you are not obliged to share your personal data with WARRIOR MARTIAL ARTS. If you choose not to share your personal data with us we may not be able to register or administer your membership.

    DECLARATION

    I hereby declare that, to my knowledge, all of the information I have provided is truthful and correct; that I am authorised to provide the aforementioned information; and that I am fit to part-take in martial arts training and events. I understand that there may be some significant risks in practicing martial arts. I acknowledge that I must always be responsible for safeguarding my own wellbeing and will therefore never attempt any practices or techniques that I do not fully understand. I confirm my acceptance of the rule that I must always tell my instructor of any illness or other conditions that may affect the training or well being of myself or any other person. I agree to comply with all of the Rules and Regulations of Warrior Martial Arts if I am accepted as a member and, as a condition of acceptance, I agree not to hold Warrior Martial Arts or any of its instructors or students liable for any injury that I may sustain whilst engaged in martial arts training or events.

    Name of person accepting these terms: