Gatka Application and Waiver

Child Information
*Name: __________________________________________________ *Date of Birth: _____________________________________________ *Parent or Guardians Name: _________________________________ *Parent or Guardians Phone Number: __________________________ *Parent or Guardians E-mail: _________________________________ Childs E-mail (optional): _____________________________________ Childs Phone Number (optional): ______________________________ *Participants Shirt size: ________________ * Required Information

Agreement and Signature

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a member of the San Jose Gatka Team, any misconduct and/or misbehavior by me or towards other students during practices or performances may result in disciplinary action and/or my immediate dismissal. Participants Signature: ______________________________________ (If minor, parent or guardians signature is also needed) Parent or Guardians signature: ________________________________

Policy and Waivers

It is the policy of the San Jose Gatka Team to provide equal opportunities without regard to race, color, religion, national origin, gender, age, or disability. Please not that participants must come to class every week unless, informed by us or due to family emergency (in case of the latter please inform us of the potential

absence as soon as possible), failure to do so repeatedly will result in a warning and/or dismissal.

Parental Consent
The undersigned parent and/or guardian does hereby affirm that he/she understands the San Jose Gatka Teams policy and agrees to its terms. The undersigned parent or guardian also understands that the practice and performance of Gatka can result in injury and that while we will take the utmost care to prevent such injury we cannot eliminate the possibility of injury. Therefore the parent and/or guardian releases the San Jose Gatka Team, the San Jose Sikh Gurdwara, and/or other affiliated organization(s) from all liability or claim of injury due to participation in any activities related and or sponsored by this organization. _______________________________________________________________ Participants Name (Print)

_______________________________________________________________ Participants Signature (if participant is over 18 years of age)

_______________________________________________________________ Signature of Parent and/or Guardian (If participant is a minor)