ISKA Combat Sport Association

Club Affiliation Application Form

Participant Information

Gender

Male

Female

Other / Prefer not to say

Physical Address:

Mailing Address (if different)

Same as physical address

If not, enter

Club Information

Membership / Participation Type

Please select all that apply

Membership / Participation Type

Coach

Club Owner / Representative

Skill and Certification

Have you completed ISKA Combat Sport Association Level 1 Coaching Course?

Yes

Have you completed ISKA Combat Sport Association Officials Course?

Yes

C. Club Information

Do you have a valid police background check submitted?

Yes – Attached

Yes – Will submit later

Upload Police Check (if available)

Medical & Safety Declarations

Acknowledgement, Waiver & Consent

By submitting this form, I confirm that

• I am either the participant or the parent/legal guardian of the participant listed above.

• I acknowledge I have read, understand, and agree to follow all ISKA Combat Sport Association’s rules, regulations, and safety policies.

• I understand that participation in martial arts activities involves physical exertion and inherent risks, including possible injury.

• I confirm the participant is physically and mentally fit to participate and will inform ISKA Combat Sport Association of any conditions affecting safe participation.

• I agree to release and hold harmless ISKA Combat Sport Association and affiliates from claims related to injury, damage, illness, or loss.

• I consent to the use of photos/videos taken during ISKA Combat Sport Association events for promotional and publication purposes.\

I confirm that I have read and agree to the above terms

Signature

Additional Policies

I agree to follow ISKA Combat Sport Association’s Concussion Awareness & Reporting Guidelines.

I wish to receive future emails about events, training, and updates from ISKA Combat Sport Association.

Fees & Payment Summary

Club Registration Fee $60.00

Individual Registrations (Owner/Coach) Fee $40.00

Pay by e-Transfer

Send payment via Interac e‑Transfer to payments@iskacanada.ca

Questions: Contact ISKA Combat Sport Association iskacanada.ca/