Club Membership
Go Shin Jutsu
Adults Only over 18.

 


Please see our website at www.goshinjutsu.co.uk for more general information.

 

Club News and information is available on the website and discussed at training nights. Make sure you keep informed, as sometimes there are temporary changes to training time and venue availability.

 

Training uniforms can be purchased through us or one of the many martial art clothing retail companies in magazines or on the internet -however it is recommended that you train for at least one month before you decide to purchase a training uniform or equipment.

 

 INSURANCE

 

All members must hold at least basic Personal Accident Insurance. This is included in your Membership fees. All Instructors hold Personal Accident, and Professional Indemnity Insurance and a First Aid qualification. Insurance is provided via the O.C.I and OCFM via ‘MartialGuard’.

MartialGuardis an insurance scheme designed specifically for organisations and participants in Martial Arts, and its related activities and clubs. TL Risk Solutions have substantial experience in providing insurance solutions to meet the needs of Martial Arts instructors and participants, and provide cover for a wide range of different requirements:

Email: enquiries@tlrisksolutions.com 0121 214 6060 Address: TL Risk Solutions Corporate, Lombard House, Great Charles Street, Birmingham, B3 3LP.]


Frankly, most martial arts insurance is a token gesture towards covering accident and injury mainly because of the nature of risk in this arena and a classification towards dangerous sports.

If you are self-employed or do not get paid sick leave it is recommended that you take out additional Personal Accident insurance (privately), to cover any time you may have off work or your business due to injury.

• If you have any further questions regarding insurance you must direct these through your Club Coach..

 

We hope you will become as excited as we are with what we do.

Licence Fees are as advised (£15 at time of print) and are paid on an annual recurring date from joining.

 

In addition Facility and Mat Fees are payable pre-monthly to Peterborough Martial Arts Academy.

1-month notice would be appreciated if you have to cease training with us for any reason.
     
Note:
non refundable for holidays, short-term sickness or non-attendance.


On NO account should you practice whilst under the influence of alcohol or recreational drugs.
 If you are found doing so, your membership to the club will be revoked.

 

Secretary:  Malcolm Keith

home:01778 345762       mob:07949 465711
instructors@goshinjutsu.co.uk     http://www.goshinjutsu.co.uk

 

 


 
YOSHIKI GOSHINJUTSU RYU
 

MEMBERSHIP/LICENCE APPLICATION FORM

 

PLEASE PRINT IN CAPITAL LETTERS.  UN-READABLE APPLICATIONS WILL BE RETURNED.

This record will not be copied and is paper filed in the Club Memberships Folder for Reference.
It will be shredded if you leave us.  Essential details only are passed to OCFM Head Office for Insurance Registration.


Personal

Forename:

Male  ם   Female ם 

Surname:

Date of Birth:

Address:

Tel: (Home)

Tel: (Work)

Town:

Tel: ( Mobile )

County:

Occupation:

Postcode:

Emergency Contact Name:

Email:

Emergency Contact Number:

 

Health

Do you suffer from any disability, illness or injury that may affect your safe practice of GoShinJutsu?       

(If YES, please give brief details)

Yes / No

 

Do you require any medication (e.g. Inhaler, Tablets) to be available to you at all times?                           

(If YES, please give brief details.)

Yes / No

 

 

General Information

Have you practised a Martial Art before?

Yes / No                                     If YES, please give brief details.

 

Have you ever been convicted of a crime of violence in the last 10 years?  

Yes / No                                      If YES, please give brief details.



Advertising Help

How did you hear about this club?

Paper, website, word of mouth,  etc
 

 

 


PRINT NAME: _____________________________ SIGNATURE: _____________________ DATE: ______________



 

Ins Sent:

 

Ins Ack:

 

Number

 

Renewal: