Name: Membership Form
SKU: 3633
Availability: InStock

Membership Application Form

*First name(s)

*Surname

*Address

*Postcode

*Telephone

*Email

Date of birth

Your Instructors / teachers name

Give details of previous martial arts experience (if any)

*Why do you want to practice Taijiquan?

Health / Relaxation
Self Defence / Martial Application
Sport / Competition
Other

Please give details

*Are you currently taking prescribed or non prescribed medication?

If you have any doubts about your health, it would be advisable to consult your GP before participation

*Please give details

*Is there any information which you think might affect or influence your participation?

*Please give details

Includes member to member insurance with the BCCMA

Agreement

I understand everything that I have entered to be true to the best of my knowledge. I understand that this information is to be used by The Longfei Taijiquan Association of Great Britain and may be shared with 3rd parties to ensure the correct insurance policies and premiums can be implemented and as such, grant my permission for it to be used in this way. The Longfei Taijiquan Association of Great Britain may also use the information you have provided to send to you, from time to time, information regarding upcoming events that we deem to be of interest to you.

If the applicant is under 18 years of age, parent or guardian authorisation is required.