KAPAP COURSES

ONLINE APPLICATION FORM

PERSONAL DETAILS

Date of birth:
Sex:
Age:
First Name:
Last Name:
Mobile Number:
Email:
Address:
 
 
Post / Zip Code:
Country:
 

HEALTH & WELLBEING

Please answer the below two questions with a NO if you have nothing to say.
   
Do you have any health issues that could affect you on the course?
   
Have you ever been in trouble with the police?
 

Course Fee Total : £45

 
PAYABLE FEE: I will include and pay 30% of the fee upfront: £13.50
This is a non refundable fee to gurrantee your place on this course.

PAY BY DIRECT BANKING

Bank: HSBC
Sort Code:
40-04-26
Account: 41509454
International Payment: IBAN: GB68MIDL40042641509454 - SWIFT: MIDLGB22

You can also send a cheque to:
The British Kapap Association, 24 Mordern House, Harewood Avenue, London, NW1 6NR

DECLARATION

Student Declaration – Please Read Thoroughly
The British Kapap Association has informed me that Kapap Self Defence can be physical in nature. I am unaware of any injury, illness or other impediment that would preclude me from completing this course safely. I have also been made aware that it is MY responsibility to inform the Instructor/s if I receive an injury or develop an illness or impediment during this course.  The BKA accept no responsibility for insurance claims against them in the event of an injury caused through self-negligence or failure to inform them of a prior injury or illness.
I AGREE Click here to agree and confirm you have read and understood the declaration.