Basic Information

Your basic information so that we can identify you.

Date of birth
/ /
Contact Information

Please provide your contact details.

If registering a person under 18, please provide contact details for at least one legal parent/guardian.

Emergency Contact

Contact details of someone we can contact in case of an emergency.

Medical Details

Please list any medical conditions that you have.


I hereby agree to participate in the required physical activities and exercises as required for classes and Grading’s conducted by Titan Martial Arts, on the basis of the terms and conditions set out below:

Please sign below