Instructions for filling out the form
Please press Tab on your keyboard to go to the next cell. For Yes/No answers simply point and click to make your selection. If you require help with this form, please email firstname.lastname@example.org Course details
Date of course * Prerequisites
Participants must be healthy and have a clean criminal record Please read information about the course carefully at this link: http://krav-maga.com/events/?action=tribe_list&tribe_paged=1&tribe-bar-search=touring+training Clear Record Declaration
* ACKNOWLEDGEMENTS, INDEMNITY & RELEASE FROM LIABILITIES
Following the approval of this application a down payment of €350 will be required in order to reserve my place of which a non-refundable amount of €100.- will be charged for cancellation fees. The balance must be paid no later than the commencement date of the event.
Places for the course are allocated on a first pay - first served basis.
KMG has the right to refuse any applicant. All payments to KMG will be refunded if KMG is unable to conduct the event.
KMG wishes to advise you that Krav Maga is potentially dangerous.
I wish to participate in the Touring & Training event in Israel
I, the under signed, with the knowledge that training Krav Maga involves some potential danger, agree to occupy and use the premises provided by KMG and hereby release to the full extent of the law KMG and its instructors, staff, agents, servants, contractors and employees from all claims and demands of every kind in respect of or resulting from any accident or damage to property or injury or death that I may suffer in the premises or the building for which KMG is or could become liable.
I will and do hereby indemnify KMG, their instructors, agents, servants, contractors and employees from and against all action, claims, demands, costs and expenses for which KMG its agents, servants, contractors, and employees shall or may become liable in respect of or arising from:
(a) Loss or damage to any property of the undersigned which may be within or without the premises of KMG.
(b) Loss, damage, injury or death from any cause whatsoever to property or person caused or contributed to by the use of the premises of KMG, or their contractors by the under signed.
(c) Loss, damage, injury or death from any cause whatsoever to property or person within or without the premises provided by KMG by any act, omission, neglect, breach or default by KMG its agents, servants, contractors, employees, invitees or licensees to the undersigned.
By printing my name, I declare that I read, understood and agree to all of the above statements.
Applicant's Name *