AK Martial Arts & Fitness

May 2010 Buddy Month

Teen and Adult

Registration Below

GUEST ONLY-Adults and Teens Ages 13 and Up Registration for our May Buddy Month

Please fill out the below info to register for the Buddy Day Event. On-line registration must be completed before class attendance. No walk-ins will be allowed. You must attend one class session to be eligible for free prizes. AKMA Students do not need to register to celebrate Buddy Month.

Your Name (Guardian)*

Your Telephone Number*

Email Address (used only for Buddy Month info and registration)*

Attendee(s) Registration Below

List Full Name of each Guest Attendee and Age*

Guest Of (AKMA Student's Name or other referral i.e. Play It Safe, Tracie Arlington, Carlsbad Chamber of Commerce, Web Offer, etc)*

Adults and Teens Buddy Day Month Class List

Each Class will be tailored to individual needs and abilities. Free gifts to each attendee will be provided.

Select Week of Class you would like to attend*

Type the Day and time of class you wish to attend. ex. 9 a.m. Monday. For a full list of the 32 Adult and Teen Classes we offer, please visit our Class Schedule on our website.*

If you have received a GOLDEN TICKET, enter the code number on the back of the ticket below

Additional Information or Comments

AK Martial Arts and Fitness Monthly Newsletter

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 student at our martial arts center 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?*

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. 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, students 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 negilgence 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 for AK Martial Arts and Fitness only. I understand that if I choose No, I will not be registered for the Buddy Day event and can not attend.

Authorization*