The Family And Community Engagement Corp
P.O Box 1311 - Plainfield, New Jersey- 07060
Member Signature (or Parent / Guardian if a minor):
P.O Box 1311 - Plainfield,New Jersey 07060
© Copyright 2016 Family And Community Engagement Corp./PAL Of Plainfield, NJ. All rights reserved.
Emergency Contact Person:
(or Parent / Guardian of :
have read and discussed the rules, and hereby agree / grant permission for my child's participation.
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.
*Sponsored FACE Corp / PAL: 908-315-0945 (Mobile #: 908-397-1785) *
Medical Insurance Provider: