Kids Class Registration

Please choose membership type *

One Child | One Class Weekly | $100.00

One Child | Two Classes Weekly | $150.00

Two Children | One Class Weekly | $150.00

Two Children | Two Classes Weekly | $300.00

One Teen | One Class Weekly | $100

Please choose classes *

Kids MMA (8+ yrs) | Monday | 4.45-5.30

Kids BJJ ( 8+yrs) | Wednesday | 4.45 - 5.30pm

Kids MMA (All ages) | Thursday | 3.45-4.30

Teens Class (13-16yrs) | Friday | 4.45 - 5.30

Ashhurst Martial Arts Club Limited

12-3143-0450272-00

Reference: Students Name

Members Full Name *

Member Age *

Members Address *

Does This Member Have Any Health Conditions Or Allergies? *

Please Tell Us More About That *

Does This Member Have Any Specific Fitness Goals *

Great! Tell Us More About That *

Do You Need To Add Another Child? *

Second Members Full Name *

Second Members Age *

Second Members Address (if different to first member)

Does The Second Member Have Any Health Conditions Or Allergies? *

Tell Us More About That *

Does The Second Member Have Any Specific Fitness Goals *

Great! Please Tell Us More About That *

Parent Guardian Details

Name of Parent/Guardian *

Parent/Guardian Phone *

Parent/Guardian Email *

Parent/Guardian Address *

Are You The Emergency Contact?

Emergency Contact Name *

Emergency Contact Phone *

Relationship To Member *

Do You Consent To Pictures Being Shared On Ashhurst Martial Arts Club Social Media Pages? *

No gang colours or patches.

No smoking, vaping or alcohol on property.

I agree to the terms & conditions and I acknowledge that I have read and understand the above membership agreement, and I agree to its terms.