To make the commitment to your Martial Art's journey, please complete the following information:

Please complete ALL fields!

Name:     

E-Mail:                     

Address:   

City / State / Zip:  

Phone:           

Birthdate:       Select Month JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER       Select Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 ,                       Select Year 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940       

Parent's Names:        (If applicant is under 18) (18 and over mark N/A)

How did you hear about Rising Sun?   Select One Website Current Member Referred by a friend Other

Please check your Class Selection:

        SuperKids Karate - Ages 5&6

                Please select your SuperKids Starting Date:  Monday, January 6, 2025

     Does the student have any physical, mental or emotional problems or disorders that the instructor should know about?   Please select Yes No

If yes, please list:

Please acknowledge all checked boxes below to complete your application:

  #1   I understand that with acceptance into this program, I am acknowledging, and accepting to be bound by all the terms and conditions of the waiver listed below.

  #2    I understand that with acceptance into this program, I will make prompt payments of any tuition and testing fees when they are due.

  #3  I understand that with acceptance into this program, I will make a commitment to my training and will follow all instructions within our guidelines.

  #4   I understand that with acceptance into this program, I understand that any time off from training may result in a forfeiture of my spot to someone on the waiting list.

  #5   I understand that with acceptance into this program, I am acknowledging that all "In-Class" training, as well as all Rank Advancement Testing will be video recorded for Rising Sun's review purposes only and will NOT be available online or for any student to review.

  #6   I understand that with acceptance into this program, I am acknowledging that Rank Advancement testing will be scheduled up to one year in advance and failure to attend that test will result in no rank advancement for that cycle. There will be NO make-up tests available.

Rising Sun Martial Arts Inc.     Training Waiver

In consideration of being allowed to participate in any program offered by Rising Sun Martial Arts, Inc., including Martial Arts classes, or any other activity sponsored by or associated with Rising Sun Martial Arts, Inc., and intending to be legally bound, the undersigned do hereby acknowledge that this waiver must be properly signed before membership may be granted and do also hereby:

1.   Acknowledge and fully understand that each participant will be engaging in activities which involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions or negligence, but the actions, inactions or negligence of others and/or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time.

2.   Assume all of the foregoing risk and accept personal responsibility for the damages following such injury, permanent disability, sickness or death on my own behalf and on the behalf of any participant, including minors that I may include on my membership or bring as a guest.

3.   Agree that the undersigned will instruct all participants, including minors, that may be included on my membership, or who may be a guest, that prior to participating in any Martial Arts classes, or any other activity sponsored by or associated with Rising Sun Martial Arts, Inc., he or she should inspect the facility and equipment to be used, and if the participant believes anything is unsafe, he or she should immediately advise management of the situation and such condition(s) and refuse to participate.

4.   Release, waiver and discharge and covenant not to sue Rising Sun Martial Arts, Inc. and/or its respective administrators, directors, agents, shareholders, instructors, and/or other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and/or owners and lessors of premises, including all outside locations, used to conduct  Martial Arts classes, or any other activity sponsored by or associated with Rising Sun Martial Arts, Inc.,  all of whom are hereinafter referred to as "releases", from any or all liability to each of the undersigned, his or her heirs and the next of kin for any and all claims, demands, losses or damages on account for injury or sickness, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releases or otherwise.

I/WE HAVE READ THE ABOVE WAIVER AND RELEASE. I/WE UNDERSTAND THAT WE  HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND I/WE HAVE SIGNED IT VOLUNTARILY IN CONSIDERATION OF BEING ALLOWED TO PARTICIPATE IN ANY AND ALL Martial Arts classes, fitness center use, weight training or any other activity sponsored by or associated with Rising Sun Martial Arts, Inc.  Rising Sun Martial Arts, Inc. reserves the right to deny entry into its’ facility and also refuse training to anyone.   

To accept the above terms and conditions, please check box #1. Submitting this application acts as your signature and acceptance of our waiver and conditions.