Online Registration - G3 America Martial Arts Margate, FL

Select Events

Please select from any upcoming events below you would like to register for:

Payment Method

Credit Card
Other

Student 1

Name

First Last

Age

Date of Birth

Broward / Palm Beach School Name

Current Grade

Student 2

Name

First Last

Age

Date of Birth

Broward / Palm Beach School Name

Current Grade

Parent or Guardian Information

Father's Name

First Last

Phone

Email

Mother's Name

First Last

Phone

Email

Emergency Contact

Name*

First Last

Phone*

Medical Restrictions and Additional Information

Please list any Allergies, Physical Limitations and Medical Information Here

Disclaimer and Waiver

Disclaimer and Waiver: In consideration for the Child/Children listed above, attendance and participation in classes, camps or events provided by G3 America Martial Arts I the Parent/Legal Guardian, acknowledge the existence of certain inherent in this type of training and hereby agree and assume all risks involved. I further relieve the G3 America Martial Arts/G3 America Development Group LLC , their management, assigned staff, volunteers and fellow students, from any liability resulting from personal injury generated or caused due to activities performed during our activities inside or outside and during transportation to and from field trip locations. I also hereby state that student named above is physically fit to take the prescribed course of instruction and do so of their own free will.

Parent / Guardian Name

First Last

Date

Accept Disclaimer and Waiver*

I have read and agree to the Disclaimer and Waiver

*Note this must be checked in order to submit.