Welcome to the official dojo registration form.

This form collects the athlete’s information to create a personal profile within our system.

This information helps us organize training, registrations, attendance, and communication securely.

Please complete all applicable fields carefully.

PERSONAL INFORMATION (ATHLETE)

Athlete Name *

Last name *

Phone Number *

Email *

Date Of Birth

Occupation

MEDICAL INFORMATION

Have you suffered any injuries?

Details of Injuries

Do you have any medical conditions?

Medical Condition Details

Blood Group

Allergic to (if any)

Important Medical Notes

LEGAL REPRESENTATIVE

Legal Representative's name

Relationship to the athlete

Representative's phone number

Representative's Email

Representative's Address

PHOTO AND VIDEO RELEASE

YES, I give permission for my child/myself to be photographed or recorded during Altius Karate Club classes, tournaments, or events.

NO, I do not give permission for my child/myself to be photographed or recorded.

Please select one option:

Please check one: