Membership Application

Select the main class/classes you will train at (Members welcome at any SSK class) *

How did you hear about this class? *

Name of instructor or friend who introduced you..

Members may get discounts for introducing people

Name of instructor or friend who introduced you..

Members may get discounts for introducing people

Add an extra person to your Annual Membership type (Tick relevant boxes)

Add 2nd Person (Eg Child or Partner)

Add 3rd Person (family membership)

Add 4th Person (family membership)

For multiple persons: main person above + additional person(s) details below **Guardian/parent above + child details below

2nd person NAME *

2nd Person (DOB) dd/mm/yyyy *

2nd Person NOTES (IF any)

3rd person NAME *

3rd Person (DOB) dd/mm/yyyy *

3rd Person NOTES (IF any)

4th person NAME *

4th Person (DOB) dd/mm/yyyy *

4th Person NOTES (IF any)

Help us understand your Goals

Emergency Contact Details

Their Name/Relationship E.g. Wife, Brother, Friend.

Emergency Contact Phone No.

Notes / Comments (120 characters maximum)

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