FACE Corp
The Family And Community Engagement Corp
Home
About 
Activities
Gallery
Volunteer
Contact 
Enrollment

Family
Community
Empowerment
P.O Box 1311 - Plainfield, New Jersey- 07060
Tel: 908-397-1785
Home
About 
Activities
Gallery
Volunteer
Contact 
Enrollment

Name:
Parents/Guardian(s):
Age:
Signed (Member)
Member Signature (or Parent / Guardian if a minor):
Waiver Agreement:
Enrollment Sign Up
P.O Box 1311 - Plainfield,New Jersey 07060
© Copyright 2016 Family And Community Engagement Corp./PAL Of Plainfield, NJ. All rights reserved.
PROGRAM:
MARTIAL ARTS
CARDIO/FITNESS
Date of Birth:
Address:
Home Phone:
Mobile Phone:
Emergency Contact Person:
Phone:
School / Employer:
Phone:
Grade:
Teacher / Supervisor:
Health Concerns:
Doctor Restrictions:
FACE Corp Decision:
Phone:
Reason(s) for Joining:
I,(print)
(or Parent / Guardian of :
)
have read and discussed the rules, and hereby agree / grant permission for my child's participation.

Parent / Guardian
I,(print)
have read and agree to abide by The FACE Corp Code Of Conduct and understand that any violation may result in suspension or dismissal from the organization immediately. I understand that while this activity is not a "FULL" Contact sport, mouth pieces, pads, and other safety equipment are required and minor injuries sometimes occur. FACE Corp & MajiKai will make every effort to ensure the safely and welfare of all members during their training sessions. I agree that FACE Corp/Majikai Dojo, will NOT be help responsible for any injuries that may occur as a result of participation in its activities. 
Date:
Approved
Denied
Reason (s):

*Sponsored FACE Corp / PAL: 908-315-0945 (Mobile #: 908-397-1785) *​
Medical Insurance Provider:
{Initial:               }