New Member Sign Up

I hereby certify to the best of my knowledge that the below details are correct and, in the event of being accepted as a member, I agree to abide by the policies and rules of Newcastle Goju-Ryu Karate Academy.

I also certify that I do not suffer from any condition or illness, other than disclosed below, that would be dangerous to train in Karate and I will advise my instructor of any changes in this respect, whether considered temporary or permanent. I understand that I may be prevented from training until the safety aspects of any condition or illness have been considered or evaluated.

Finally, I agree to continually pay for my classes by standing order on a regular basis and will speak to the instructor before cancelling/amending payments.

Please enable JavaScript in your browser to complete this form.
Student Name:
Parent / Guardian Name:
If student is under 18 years old.
Contact Email
Are you happy for us to share pictures or videos of you on our social media pages?
Emergency Contact Name:
Emergency Contact Name: