Membership Application & Waiver | Relentless Striking Academy — Milperra
MEMBERSHIP APPLICATION

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MEMBERSHIP
APPLICATION

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YOUR APPLICATION.

Fill in your details below, choose how you'd like to pay, and sign the waiver electronically. Takes about 3 minutes — our team will confirm everything before your membership starts.

Please fill in all required fields and agree to the waiver before submitting.
01 · Personal Details

Who's Joining?

Your legal name and contact details for our records.

02 · Address

Where You Live

03 · Emergency Contact

Next Of Kin

Who should we call in an emergency?

04 · Membership

What Are You Training?

Pick your primary discipline — you're welcome to try others once you're in.

Which membership are you applying for?

05 · Payment

Your Payment Schedule

Choose how often you'd like your membership fees direct debited.

A one-off Registration Fee applies when you join, on top of your chosen membership. Our team will confirm the exact registration fee and membership rate with you before your first payment is processed — nothing is charged automatically from this form. All memberships are billed via Direct Debit on a 3-month minimum commitment.
06 · Bank Account Details

For Direct Debit

These details are used to set up your Direct Debit through Ezidebit. Provided securely to our team — never charged or processed automatically from this form.

07 · Health Declaration

Anything We Should Know?

Injuries, medical conditions or medications our coaches should be aware of. Leave blank if none.

08 · Waiver & Release

Liability Waiver

Please read the waiver in full before signing below.

Assumption Of Risk

Combat sports and physical training — including but not limited to boxing, Muay Thai, kickboxing, Brazilian Jiu Jitsu, strength & conditioning and related activities — carry an inherent risk of injury, including serious injury. I acknowledge that I am voluntarily participating in classes and activities at Relentless Striking Academy ("the Academy") and I freely accept and assume all risks, known and unknown, associated with my participation.

Medical Fitness

I confirm that I am medically fit to participate in physical exercise and combat sports training. I have disclosed any relevant medical conditions, injuries or limitations above. I understand it is my responsibility to inform coaching staff of any change to my health or fitness to train, and to consult a medical professional before beginning any new exercise program if I am unsure of my fitness to do so.

Release Of Liability

To the fullest extent permitted by law, I release, discharge and hold harmless Relentless Striking Academy, its owners, coaches, staff, and Ultra Renovations Group (facility fit-out partner), from any and all claims, demands, actions, or liabilities arising from personal injury, illness, death, or property damage that may occur while participating in classes, using the facility, or as a result of my own or another participant's actions, except where such injury or damage is caused by the gross negligence or wilful misconduct of the Academy.

Photo & Video Release

I consent to the Academy photographing or filming me during classes and events for use in promotional material, social media and the website, unless I notify the Academy in writing that I do not consent.

Membership Terms

I understand that memberships are based on a minimum 3-month commitment, billed by Direct Debit at the frequency I have selected above, and that a one-off Registration Fee applies on joining. I understand exact pricing will be confirmed with me by Academy staff prior to my first payment, and no payment is processed as a result of submitting this form.

Direct Debit Request Authority

I authorise Relentless Striking Academy to arrange, through its nominated Direct Debit provider (Ezidebit), for funds to be debited from the bank account I have provided above, in accordance with the payment frequency I have selected and the membership fees confirmed with me by Academy staff. I understand this authority remains in place until I cancel it in writing, and that I should refer to the Direct Debit Request Service Agreement provided by Ezidebit for full terms, including notice periods for changes or cancellations. I confirm the bank account details provided are accurate and that I am authorised to operate this account.

Code Of Conduct

I agree to train respectfully, follow coach instructions, and treat all members and staff with courtesy. I understand the Academy reserves the right to suspend or terminate membership for conduct that endangers others or breaches this code.

If signing on behalf of a minor (under 18), type the parent or guardian's full legal name and note the relationship in the health declaration above.

By submitting, our team will contact you to confirm your start date and payment details. Prefer to sign in person? Call 0415 399 561.