Teens Bank Deposit

Teens Bank Deposit Memberships

Amount: $25 weekly

Ashhurst Martial Arts Club Limited

12-3143-0450272-00

Reference: Students Name

Member 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 *

Name of Parent/Guardian *

Parent/Guardian Ph Number *

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.