Instructor Registration

Instructor's Name *

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Last

Father's Full Name *

Address: H. No/Apt No

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Country *

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PIN CODE/ZIP

Phone Number *

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Email *

Email

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Date of birth *

Height (CM/INCHES)

Weight (LB/KG)

Gender *

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Qualification *

Does the Instructor have any medical condition? If yes, please describe.

Admission/Reg Number

Parent/Guardian Information

(if Instructor is under 18 years)

Name (Parent/Guardian)

First

Last

Phone Number (Parent/Guardian)

Enter your phone number with country code. (Ex: +91 9876543210)

Email (Parent/Guardian)

Oath *

I take an oath that I will always be honest, truthful, kind and courteous to all man kind. I respects and Obey my grandmaster at all the time and follow the rule and regulations of the BRUCE ADVANCED MARTIAL ARTS AND YOGA ACADEMY at all times. I will never make any changes to the guidelines for my own benefits, I also share a healthy relation with my co-Instructors and always be professional with my students.

Acknowledgement *

I understand that all sports carry a risk of injury and that Bruce Advanced Martial Arts And Yoga Academy is not responsible for injuries or loss suffered as the result of participating in these activities. From time to time Bruce Advanced Martial Arts And Yoga Academy will post photographs and videos of our students, instructors, and supporters online. I will let Bruce Advanced Martial Arts And Yoga Academy know by email if I do not consent to my or my child’s photos being shared. Bruce Advanced Martial Arts And Yoga Academy will give 30 days written notice of any fee increase.

Medical Authorization *

In the event of an injury or medical emergency, I allow Bruce Advanced Martial Arts And Yoga Academy to provide first aid, arrange transport to a medical facility, and authorize emergency treatment as recommended by a doctor for the athlete named above. I understand that all reasonable efforts will be made to contact the students parent and/or emergency contact if an injury or medical emergency occurs.

Confirmation *

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Instructor's signature (Type your name) *

Parent/Guardian Instructor, if Instructor under 18 (Type your name)

Your joined date *

Today's date *

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