Keene Hall | Adult Membership Application Form

Keene Hall | Adult Membership Application Form

By completing this form (parent/guardian if under 18) and becoming a member of Chelmsford Karate Club, I agree that I (or my child):


        • Wish to become a member of Chelmsford Karate Club and/or its branch dojos and confirm that the details provided are correct.
        • Will follow all instructions from the Sensei (Instructor) and abide by all rules set out by Chelmsford Karate Club and its instructors.
        • I understand that Goju Ryu is a semi contact style so there will be some contact. I understand that excessive contact and force is not allowed.  
        • I am in in good health and have no known medical problems that would restrict my ability to participate in karate that have not been stated or discussed. I will inform the club’s instructors of any change in my health and will not hold the club, G.K.I. or their instructors or members, liable for any loss or injury arising as a result of any undiagnosed health issue.
        • I undertake this activity at my own risk, and agree to totally and completely indemnify the club, its Instructor/s and the venue in respect of any injury caused to myself or any other person during the session. I agree to bear all losses caused by injuries that I/my child may receive whilst training with the club.
        • I will uphold the true principles of Karate-Do and never use karate techniques outside the dojo unless necessary
        • I will keep my G.K.I. licence up to date and should I fail to do so I indemnify the club, its members, instructors and officials from any and all liabilities and responsibilities including those normally covered by an up-to- date licence.
        • I will inform the club officials should I decide to stop training at the club. I accept that it is my responsibility to stop any standing order/Direct debit that I have in place and that no refunds will be made.
        • Chelmsford Karate Club is part of the Safeguarding Code and requests that all joining Members (Kids, Parents, Adults) ensure they have read the club policies. These can be found by Clicking Here

On 25th May 2018 the GDPR (the General Data Protection Regulation) became law; this means we must provide you with information about the lawful grounds for processing your personal data. Our Privacy Policy sets out how we collect and process your personal data, for what purposes we use your data, the legal grounds for processing it, how we keep your data secure, and your rights in relation to this data. You can view the full Privacy Policy Here

Keene Hall | Adult Membership Application Form

Your Details

Contact Information

  • Your Details
  • Medical Details and Next of Kin
  • First Aid and Publicity Permissions
  • Misc & Statement of Acknowledgement
  • Summary


We practise traditional Okinawan Goju Ryu, which focuses on effective close quarters fighting. We enjoy tournaments but believe that the true heart of karate is self-defence.

North Avenue Location

United Reformed Church,
North Avenue,
Chelmsford, CM1 2AL
Phone: 01245 330931

Keene Hall Location

Keene Hall,
Watchhouse Road,
Galleywood, CM2 8PT
Phone: 07884 118916