MUAY THAI SEMINAR

 

Kyoshi Peter Richardson will be instructing this seminar and will take all participants through a series of pad drills and concepts. This seminar is open to all BJMA members. Cost is $25 and can be paid on the day.
DUE TO COVID-19 bookings are a must.
Please make sure you bring a towel, all your protective equipment and Thai pads if you have them.

MUAY THAI SEMINAR

Step 1 of 2 - Participants Details

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  • Primary carer/next of kin to authorise if under 18 years of age

  • Date Format: DD slash MM slash YYYY
  • Medical Information

  • Medical Release and Authorization

    As Parent and/or Guardian of the named participant, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to the Versatile Fitness ‘kiva dojo’ and its affiliates including Directors, Coaches, and Team Parents to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered seminar. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
  • Date Format: MM slash DD slash YYYY