Registration - The Five Rings Martial Arts

Registration Form

Hi,

Congratulations on deciding to enrol on your New Starter Course!

Please fill out the form below to complete your registration and book your space.

A deposit of €10.00 is required to confirm your space. There is credit/debit card field at the end of the form to make your payment, which will be taken through Stripe.

For information on how we handle your data, please review our privacy policy.

We are looking forward to meeting you.

Thank you!

Name *Please enter your full name

Date of birth *

This is required for insurance purposes

Email Address *

Phone *Please enter the best contact number to reach you on

Emergency Contact Name *

Emergency Contact Phone *

Do you have any relevant medical conditions or disabilities that could impact your training? *YesNoDo you have any disabilities (Physical or Mental) that could affect your training? For example: Migraine, Hay Fever, Hemophilia, Diabetes, Heart Disorders, Respiratory Problems, Epilepsy, Aids, Hepatitis, Back Problems or any other disorder which may affect your training?

If 'Yes', Please provide relevant details

Have you ever been convicted of, or are you due to stand trial for a crime of violence? *YesNo

If 'Yes', Please provide relevant details

Photography and Social Media *Yes - I give consentNo - I do not give consentThe Five Rings Martial Arts may take photographs during club lessons and events and these may be used on our website and our social media pages. Please indicate if you give permission for you as a student to have your images included in the use of media and social networks

Privacy Policy *I have read and understand the Privacy PolicyWHERE DO WE GET YOUR INFORMATION FROM? We will normally collect personal information about you when you fill in an application form to become a member of The Five Rings Martial Arts, or when you want to talk to us on the phone, by e-mail or in some other way. We might collect the following personal details about you before, during or after your time as a member, such as: • details of how we can contact you, such as your name, email address, where you live and phone number • your birthday • your gender • information about your health, including any medical condition and health professional information • criminal convictions • membership details including when you signed up to be a member and any date you decide to leave us • records that tell us when you were at our classes or events • videos and photos of you • records of whether you compete at a county/national/international level • details of family members and other people we might need to contact in case of an emergency • records of your gradings WHO HANDLES YOUR INFORMATION? The Amateur Martial Arts Association for the purpose of membership and insurance cover, The Head of The Five Rings Martial Arts, Club Instructor(s) & the Club Secretary. RETENTION PERIOD We will keep your information as follows: Students on trial periods will be kept for 3 months. Members of The Five Rings Martial Arts will be kept for 3 years from the last point of contact.

Declaration *I declare that the above details are true and correct to the best of my knowledge. Whilst great care is taken to ensure all participants safety, I am prepared to accept the possibility of injury. I hereby undertake to abide by the rules of The Five Rings Martial arts. I am mentally and physically fit enough to undertake Martial Art Training. I understand that the Association reserves the right to decline an application without giving a reason.

Payment - Powered by Stripe *

Please pay €10.00 Deposit to secure our space. Please note Deposits are non-refundable

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