Registration Form - Buddy Information Required information marked with * * Current Event Please Select Ice Cream & Water Guns Birthday Party Valentine's Party Halloween Party Obstacle Course Mania Trial Class * Who Invited You * Child Name * Parent Name * Date of Birth * Phone Number * Email * Address Free Trial Recieve information about our Free Trial. Field Liability Statement The undersigned hereby acknowledges the existence of certain risks in this type of training and agrees to assume all risks and responsibility. He/she further relieves The Martial Arts Center, Inc., Michael Hernandez, assigned instructors, and any other person or persons acting on their behalf, of all liability resulting from personal injury or loss of personal property. The undersigned further stipulates that he/she is physically sound and that he/she has medical approval to proceed with this type of training & will provide their own health/ accident insurance. The undersigned agrees that this release shall remain in force indefinitely from the date above. By filling out this form and clicking Agree & Send, you agree to the above Liability Statement.