Student Application



Name______________________________________________________________________________________


Phone_______________________________________________________ Age____________ Sex _________

Address___________________________________________________________________________________


City_________________________________________________________________Zip__________________

Occupation________________________________________________________________________________

Prior Aikido experience / rank____________________________________________________________

Other martial art experience / rank_______________________________________________________

How did you hear of our school?___________________________________________________________

******************************************************************************************

READ THE FOLLOWING CONTRACT CAREFULLY - IT LIMITS OUR LIABILITY

I, the undersigned applicant of   AIKIDO OF SAN JOSE   (hereafter called "School"), 
acknowledge that I am applying for instruction in a martial art involving strenuous 
exercise and personal body contact.  I acknowledge that the School carries no insurance
against injury to any of its students.  As a condition to being admitted to the School 
as a student, I assume the risk of all injury and do hereby hold the School, its 
employees and agents harmless from any and all liability (including attorney's fees 
and costs) for all claims, actions or damages due to injuries suffered by me or 
caused to third parties by me, arising out of activities involving Aikido, or any 
variation thereof, whether occurring on the premises of the School or elsewhere, 
excepting only those claims, actions or damages caused by the gross negligence 
or intentional act or omission of any of them.

	I agree to abide by the rules of the School and to follow explicitly all 
instructions given by instructors during the course of my instruction.



Date _________________________ Signature ___________________________________________________


	If under eighteen (18) years of age, parent or guardian must sign below.
	I, the undersigned, as parent or guardian of the above applicant, certify 
that I have read the above application and I consent to the applicant's receiving 
the instruction applied for and I agree to the provisions of the contract for myself 
and said applicant.



Date _________________________ Signature ___________________________________________________