Payment terms

One month deposit plus one month in advance payable for new memberships.

Month deposit can be used as last month notice if cancelling membership.

Fees to be by Direct Debit or Standing order on 1st each month to:

Acc. Name: The Dojo Woking
Account No.: 82836467
Sort Code: 40-22-26

The Dojo Woking
Membership Form and Liability Waiver

First Name

Phone

Next of Kin/Relationship

Last Name

Date of Birth

Mobile

Contact Number

Please specify which classes interest you

Is there any other information we should know about you?

Do you have a doctor’s permit to participate in intense physical activities?

Yes

From time to time we use photos and videos of our classes for promoton purposes online, in fliers, adverts and other printed promotional mediums. By ticking the box, I confirm that I give permission to The Dojo Woking to use this material where me or my child/children may appear.

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

I declare that the info I’ve provided is accurate & complete

Signature. If under 18yo, Parent/Guardian must sign.

Date

Payment terms

The Dojo Woking Membership Form and Liability Waiver

The Dojo Woking
Membership Form and Liability Waiver