BUDDY GUEST ONLY Registration for our Buddy Month

Please fill out the below info to register for the Buddy Month Event May 10th to June 10th. On-line registration must be completed before your free class attendance. No walk-ins will be allowed. You must attend one class session to do the free prize spin. AKMA Members do not need to register to celebrate Buddy Month.

Your Name (Guardian)*

Your Telephone Number*

Email Address (used only for Buddy Month Communications and Registration)*

Attendee(s) Registration Below

Which Program Are you interested in?*

Tiger 2.5 to 4 yearsSr. Tiger 5 to 8 yearsDragons 8 to 12 yearsTeens and Adults 13 and UpFamily Program for all ages

List Full Name of each Guest Attendee and Age*

Guest Of (AKMA Member's Name or other referral i.e. Play It Safe, Tracie Arlington, Carrillo Elementary, Web Offer, etc)*

Pick a Class Day and Time

If you are sure about what day you want to attend, list below. If not, let us know an approximate day you would like to come try it out. We will watch for you and make sure we have enough prizes for the wheel spins. We offer over 50 classes a week so please choose one from our class list that is convenient for you. Thank you!

Date and Time You would like to attend the free class.*

Additional Information or Comments

AK Martial Arts and Fitness Monthly Newsletter and Full Calendar Access.

We conduct many community events to help local schools and charities. Glow in the Dark Laser Tag, Parent Night Out, Kid Camps, Free Movies and Pizza Parties, Play It Safe Self Defense for Kids are just a few of the events we provide on a monthly basis. You do not have to be a member of our gym to attend a community or sport event.

Would you like to receive our monthly email newsletter to notify you of any specials, events or community services?*

Yes, PleaseNo, Thank You

Would you like to have access to our Shutterfly Media and News Page?*

Yes, PleaseNo, Thank you

Acknowledgement and Agreement

I certify that the information I have completed on this form is accurate and to the best of my knowledge. I acknowledge that the above listed attendees are part of my immediate family and are over the age of 3. I agree and abide by the terms and conditions listed on this website. I, the undersigned parent or person having legal custody/guardianship of the minors shown above, or for myself, give permission for these minors to participate in all activities as described in the announcement for the program event. I hereby voluntarily and knowingly assume all risks and dangers inherent and incidental to the activities of the program. I will not hold AK Martial Arts and Fitness, it's instructors, employees, members or other attending guests liable for any injuries incurred during the program whether caused by equipment or the acts or omissions of others excepting, damage or injury solely caused by the willful misconduct of negligence of AK Martial Arts and Fitness or it's employees or agents. I, the undersigned parent or person having legal custody/guardianship of the minors shown above acknowledge that there is no existing medical condition, food allergy and/or other condition of importance that is not listed above in "Other Info" that will prohibit the mentioned minors above to participate in activities listed in the events announcement. Photography Media might be utilized during the event and I acknowledge that AK Martial Arts has full rights and ownership to said media which will or can be used to market similar events by the company. I understand that if I choose No, I will not be registered for the Buddy Month event and can not attend.

Authorization*

Yes, I agree to the terms and conditions on this web pageNo I don't agree and don't want to attend the event.