MINDANAO FILIPINO MARTIAL ARTS CLUB (MFMAC)

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APPLICATION FORM
NAME: BIRTHDAY: AGE:
ADDRESS: HEIGHT: WEIGHT:
RELIGION: CIVIL STAT:
CONTACT #: CITIZENSHIP:
ANY MARTIALS STUDIED: COURSE:
ANY HEALTH CONDITION: OPERATION:
EMAIL ADD: DIALECT:

IN CASE OF EMERGENCY:

FATHER’S NAME: WORK AT:

MOTHER’S NAME: WORK AT:
CONTACT #: CONTACT #:
ANY CONDTION THAT COULD AFFECT YOUR
DURATION OF TRAININGS:
OTHER MARTIAL ARTS PRACTICED: RANK ATTAINED:

FOR 18 YEARS OLD AND BELOW WITH CONSENT:

GUARDIANS SIGNATURE:_____________________________RELATIONSHIP:_______________

I CONFIRM THAT THE ABOVE MENTION IS TRUE AND CORRECT TO THE BEST OF
MY KNOWLEDGE.

PRACTICIONER’S SIGNATURE:____________________________________

INSTRUCTORS SIGNATURE:_________________APPLICATION ACCEPTED:__________

 MINDANAO FILIPINO MARTIAL ARTS CLUB

WAIVER FORM

I HEREBY CERTIFY THAT MY APPLICATION IN THIS CLUB IS TRUE AND

CORRECT, AND THAT I AM PHYSICALLY FIT TO PARTICIPATE IN ALL CLUB
ACTIVITIES.

I HEREBY HOLD MINDANAO FILIPINO MARTIAL ARTS CLUB (MFMAC), ITS

SCHOOL OR ANY OF ITS INSTRUCTORS, OFFICERS, AND REPRESENTATIVES
FREE FROM LIABILITY ARISING FROM ANY INJURIES THAT MAYBE SUSTAINED
IN THE COURSE OF PRACTICE, IN TOURNAMENTS AND IN EXAMINATIONS.

FURTHER, I AGREE OF THE TERMS AND CONDITIONS REGARDING THE

DISCIPLINE OF THE ART AND THAT THE SCHOOL, OR THIS CLUB, SHALL HAVE
THE RIGHT TO DISCHARGE ME, IF FOUND IN VIOLATION OF THE STANDARDS OF
DISCIPLINE AND THE CODE OF CONDUCT, AND FORFEIT MY MEMBERSHIP.

_________________________________________________________________________

PRINT NAME AND SIGNATURE

DATE:__________ WITNESSED BY:__________________________________________________

(FOR 18 YEARS OLD AND BELOW)

NAME OF PRACTICIONER:_________________________________

WITH CONSENT:__________________________________

PARENT’S SIGNATURE:__________________________RELATIONSHIP:_______________

APPLICATION ACCEPTANCE:YES______NO_______

INSTRUCTOR’S SIGNATURE:___________________________

REMARKS:_________________________________________________________________________