Waiver Form Event Registration Select The Event Type You Wish To Attend*Birthday PartyParent's Night OutWhite Belt Buddy BashKids Martial ArtsAdult Martial ArtsKarateKrav MagaKickboxingOtherPremier Martial Arts Location*Select LocationLakeville, MNMcCalla, ALPalm Valley/Nocatee, FLLatham, NYOrmond Beach, FLThornwood, NYLargo, FLHaddon Township, NJLand O'Lakes, FLDoral, FLEast Edmond, OKBonita Springs, FLOakdale, PABardmoor, FLGreenville, SCAventura, FLNorthshore, TNMiddletown, DEBear, DEDenton South, TXSouth Huntington Beach, CABrea, CALake Jackson, TXFolsom, CAIvy City, DCPflugerville, TXLowry, CO82nd Street, TXAbilene - South 14th StreetFairlawn, OHAbilene, TXAllandale, TXNorth Knoxville, TNMurfreesboro, TNMt Juliet, TNAddison, TXBedford, TXColleyville, TXCorpus Christi, TXDickinson, TXDillo City, TXEast Allen, TXSan Marco, FLPearland, TXEast Frisco, TXHouston River Oaks, TXFiesta Trails, TXHelotes, TXFlower Mound, TXGrand Prairie, TXHouston Heights, TXJersey Village, TXLake Highlands, TXHarlingen, TXKingwood, TXBrighton, COLakeline, TXEverett-Millcreek, WALakewood, TXLeague City, TXLeander, TXLubbock, TXMagnolia, TXMckinney/Fairview, TXMission, TXNorth McAllen, TXPlano, TXRichmond, TXRosenberg, TXRound Rock, TXMaryville, TNSchertz/New Braunfels, TXShadow Creek, TXLakewood Forest, TXKnoxville , TNLebanon, TNMissouri City Sienna, TXSouthlake, TXSummerwood, TXTrophy Club, TXUptown, TXValley Ranch, TXWatauga, TXWest Katy, TXHardin Valley, TNWoodforest, TXFarragut, TNBountiful, UTEast Brainerd, TNDraper, UTKaysville, UTCollierville, TNClarksville, TNBellevue, TNNorth Augusta, SCNorth Ogden, UTOrem, UTPleasant Grove, UTRiverton, UTAshburn, VAIrmo, SCAiken, SCWarwick, RIGainesville, VAManassas, VAScituate, RIWoodbridge, VANorth Kingstown, RICranston, RIWyomissing, PAPhoenixville, PALancaster, PAMarysville , WARenton, WAHuntingdon Valley, PAGlen Mills, PAWauwatosa, WIForty Fort, PACranberry Township, PAConshohocken, PAChambersburg , PAWest Linn, ORCentral Point, ORNorth Oklahoma City, OKBroken Arrow, OKMason, OHMacedonia, OHSilverado Ranch, NVAnthem/Seven Hills, NVMonroe Township, NJMaplewood, NJLivingston, NJDenville, NJWest Omaha, NEOmaha, NECentral, NEWest Cary, NCSouth Charlotte, NCDavidson, NCCharlotte, NCMint Hill, NCHuntersville, NCHighland Creek, NCHavelock, NCGarner, NCChapel Hill/Durham, NCAsheville, NCArden, NCApex, NCColumbus, MSWildwood, MOSt Louis/West End, MOManchester, MOLees Summit, MOKansas City North, MOCreve Coeur, MOPlymouth, MISterling Heights, MIRoyal Oak, MIOkemos, MIKentwood, MIHealth Village, MIGrand Rapids, MISwampscott, MAStoughton, MASaugus, MARaynham , MANorton, MAMarlborough, MAHingham, MAHaverhill, MABurlington, MASlidell, LASouth Lexington, KYPaducah, KYHamburg, KYJeffersonville, INWichita, KSEast Wichita, KSOverland Park, KSOlathe, KSLawrence, KSSW, INNoblesville, INGeorgetown, INFt Wayne, INCarmel, INWest Loop, ILSouth Elgin, ILHinsdale, ILDeerfield, ILMeridian, IDKauai, HISuwanee, GASharon Springs, GASandy Springs, GAPowder Springs, GANorcross, GAMartinez, GAMarietta, GAMableton, GAKennesaw, GAJohns Creek, GAGrovetown, GAEast Marietta, GAEast Cobb, GADruid Hills, GADecatur East, GABrunswick, GAAugusta, GADavie/Weston, FLUniversity Town Center, FLSt. Augustine, FLSanford, FLPlantation, FLPembroke Pines, FLNaples, FLJacksonville, FLFleming Island, FLFishhawk, FLCoconut Creek, FLClermont, FLDover, DETrumbull, CTWash Park, COSouthlands, CONorth Colorado Springs, COLittleton, COLafayette, COGreeley, COColorado Springs South, COArvada, COArapahoe, COWestlake, CASanta Clarita Valley, CASacramento, CAMurrieta, CAEncinitas, CAElk Grove, CAScottsdale, AZPhoenix, AZParadise Valley, AZGilbert, AZChandler East, AZArcadia, AZBuckhead Central, GABarker Cypress, TXHolly Springs, NCNorth Canton, OHQuarry Creek, CAFayetteville, ARNorth Charleston, SCRancho Bernardo, CACottleville, MOLake Wylie, SCColumbus North, OHPark Ridge, NJNew Braunfels, TXTampa, FLMechanicsburg, PASammamish, WABothell, WABrentwood, PAFort Walton Beach, FLAustell, GARichland, WAThornton Town Center, COPeoria, AZConcord, NCLantana, TXLewisville, TXSteiner Ranch, TXRandolph, MASpring, TXEncino, CAGreater Conway, ARThe Woodlands (Gosling), TXSugarland (East), TXOak Ridge, TNNew Britain, PAMount Pleasant, SCSavage, MNBainbridge, OHCentenniel - Lone Tree, COBloomfield, NJLake Oswego, ORSteele Creek, NCHenderson (Green Valley South), NVOdessa, TXMurphy, TXMurrysville, PALas Vegas, NVAlbuquerque, NMLa Vista, NEMesa, AZTyler, TXArlington (West), TXRichardson, TXScarsdale, NYPowell, TNCanton, GAArlington Heights, ILGuest's Name* First Last Date of Birth* Month Day Year Guest's Gender* Male Female Guardian’s Name (If Applicable) First Last Cell Phone*Email* May We Communicate With You Via Text Message?* Yes No Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Invited By (If Applicable) In consideration for my or my child's attendance and participation in the martial arts training offered by Premier Martial Arts, I acknowledge the existence of certain inherent risks in this type of training and hereby agree to assume all risks. I further relieve Premier Franchising Group LLC, Premier Martial Arts International Inc., the school, it's management, assigned staff, and fellow students from liability resulting from bodily injury, virus, any type of contagious sickness, or loss, whether personal belongings or bodily injury. I understand that member images may be used for promotional or training purposes. I agree that I or my child will not attend any event at any time when I or my child believes that they might be ill, is experiencing any symptoms of illness, or has been exposed to a person or persons known to be infected with a contagious illness. I also hereby state that I or my child is physically fit to take the prescribed course of instruction and does so of my own free will.Guardian Or Adult Student Signature*CAPTCHANameThis field is for validation purposes and should be left unchanged.