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 LocationAbilene - South 14th StreetAbilene, TXAddison, TXAiken, SCAlbuquerque, NMAllandale, TXApex, NCArapahoe, COArcadia, AZArden, NCArlington (West), TXArlington Heights, ILAshburn, VAAsheville, NCAugusta, GAAurora, OHAustell, GAAustin, TXAventura, FLBardmoor, FLBarker Cypress, TXBear, DEBedford, TXBloomfield, NJBonita Springs, FLBothell, WABountiful, UTBrentwood, PABrighton, COBrooklyn Heights, NyBrunswick, GABuckhead Central, GABurlington, MACanton, GACarmel, INCentennial, COCentenniel - Lone Tree, COCentral Boulder, COCentral Point, ORChambersburg , PAChandler East, AZChapel Hill/Durham, NCCharlotte, NCChicago, ILClarksville, TNCoconut Creek, FLColleyville, TXColorado Springs South, COColumbus, MSConcord, NCConshohocken, PAConway, ARCorpus Christi, TXCottleville, MOCranston, RICreve Coeur, MODavidson, NCDecatur East, GADenville, NJDickinson, TXDoral, FLDraper, UTDruid Hills, GAEast Allen, TXEast Brainerd, TNEast Cobb, GAEast Edmond, OKEast Marietta, GAEast Wichita, KSElk Grove, CAEncinitas, CAEncino, CAEverett-Millcreek, WAFairlawn, OHFarragut, TNFayetteville, ARFiesta Trails, TXFishhawk, FLFleming Island, FLFlower Mound, TXFolsom, CAFort Walton Beach, FLFort Wayne, INForty Fort, PAFrisco, TXFt Wayne, INGainesville, VAGarner, NCGilbert, AZGlen Mills, PAGrand Prairie, TXGrand Rapids, MIGrovetown, GAHaddon Township, NJHamburg, KYHardin Valley, TNHarlingen, TXHavelock, NCHaverhill, MAHelotes, TXHenderson (Green Valley South), NVHendersonville, TNHighland Creek, NCHingham, MAHinsdale, ILHolly Springs, NCHouston Heights, TXHouston River Oaks, TXHuntersville, NCHuntingdon Valley, PAHutto, TXIrmo, SCIvy City, DCJeffersonville, INJersey Village, TXJohns Creek, GAKauai, HIKaysville, UTKentwood, MIKingwood, TXKnoxville , TNLa Vista, NELafayette, COLake Highlands, TXLake Oswego, ORLake Wylie, SCLakeline, TXLakewood Forest, TXLakewood, TXLancaster, PALand O'Lakes, FLLantana, TXLargo, FLLas Vegas, NVLatham, NYLawrence, KSLeague City, TXLeander, TXLebanon, TNLewisville / Castlehill, TXLittleton, COLowry, COLubbock West, TXLubbock, TXMableton, GAMacedonia, OHMagnolia, TXManassas, VAManchester, MOMaplewood, NJMarietta, GAMarlborough, MAMartinez, GAMaryville, TNMason, OHMcCalla, ALMckinney/Fairview, TXMechanicsburg, PAMeridian, IDMesa, AZMint Hill, NCMission, TXMissouri City Sienna, TXMonroe Township, NJMount Pleasant, SCMt Juliet, TNMurrysville, PANaples, FLNew Braunfels, TXNoblesville, INNorcross, GANorth Augusta, SCNorth Canton, OHNorth Charleston, SCNorth Colorado Springs, CONorth Kingstown, RINorth Knoxville, TNNorth McAllen, TXNorth Ogden, UTNorth Oklahoma City, OKNorthshore, TNNorton, MAOak Ridge, TNOakdale, PAOdessa, TXOkemos, MIOmaha, NEOrem, UTPaducah, KYPalm Valley at Nocatee, FLParadise Valley, AZPark Ridge, NJPearland, TXPearland, TX (Hwy 288 Location)Pembroke Pines, FLPeoria, AZPflugerville, TXPhoenix, AZPhoenixville, PAPlano, TXPlantation, FLPleasant Grove, UTPowder Springs, GAPowell, TNRancho Bernardo, CARandolph, MARaynham , MARenton, WARichardson, TXRichland, WARichmond, TXRiverton, UTRosenberg, TXRound Rock, TXRoyal Oak, MISacramento, CASammamish, WASan Marco, FLSandy Springs, GASanta Clarita Valley, CASaugus, MASavage, MNScarsdale, NYSchertz, TXScituate, RIScottsdale, AZSharon Springs, GASlidell, LASouth Elgin, ILSouth Huntington Beach, CASouth Lexington, KYSouthlake, TXSpring, TXSt Louis/West End, MOSt. Augustine, FLSt. Charles, MoSteele Creek, NCSteiner Ranch, TXSterling Heights, MISugarland (East), TXSummerwood, TXSunrise/Weston, FLSuwanee, GASW, INSwampscott, MAThe Woodlands (Gosling), TXThornton Town Center, COTrophy Club, TXTyler, TXUniversity Town Center, FLValley Ranch, TXWash Park, COWest Cary, NCWest El Paso, TXWest Katy/Fulshear, TXWest Linn, ORWest Valley City, UTWestlake, CAWichita, KSWildwood, MOWoodbridge, VAWoodforest, TXWyomissing, PAGuest'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* Reset signature Signature locked. Reset to sign again Consent* I agree to receive text messages from Premier Martial Arts. 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