Bromley Team LYG

Tigra karate international membership and insurance form

Club area...........................................................................

Gender.................................. New.............Renewal ..............

first name ............................ Surname...................................

Address...............................................................................

Town ...................................Postcode..................................

Tel home...............................Tel Mob ..................................

Date of birth ...........................Age........................................

Nationality................................Ethnic origin.............................

Any disabilities/Health issues may affect your training

...........................................................................................

Any previous martial experience..................................................

Signature of applicant (parent,guardian).if under 18...........................

l