6-Week New Student Course

WARNING, WAIVER OF CLAIMS, RELEASE OF LIABILITY, INDEMNITY AGREEMENT AND AGREEMENT TO MATRICULATE. 

BETWEEN TRAINING APPLICANT AND SCORNAVACCO MARTIAL ARTS ACADEMY 

Please read carefully before signing.

Client Information:

{name}

{address}

{phone}

Parent or Legal Guardian Name (if student is under 18): {name}

I, the undersigned, do hereby:

1. Agree that before participating in training at SCORNAVACCO MARTIAL ARTS ACADEMY or at the events away from main school, I will inspect surfaces, facilities and equipment to verify their safety and advise my instructors and decline to participate if deemed unsafe. 

2. Understand and acknowledge that all martial arts activities are physical contact exercises in which physical injury or fatal consequences as well as property damage can occur, due not only to my negligence, action or interaction, but also the actions of others. Futhermore, I acknowledge that there may be risks, known to me or not reasonably predictable.

3. Assume all risks involved in the practice of martial arts.

4. Enter on my own free will into premises and classes, demonstrations, training and competition understanding and abiding by the rules promulgated by my instructors, coaches and officials.

5. Certify that I am in good health, general physical condition with no limitations to impair my performance, mentally or physically of the prescribed activities of myself and of others.

6. Grant permission in the event of my injury to have medical assistance administered by instructors, coaches and officials. 

7. Acknowledge that the martial arts I learn are potentially dangerous and could result in serious injury or fatal outcome to myself and to others. I hereby forever release, waive, discharge and covenant not to sue SCORNAVACCO MARTIAL ARTS ACADEMY its principals, staff, directors, agents, instructors, coaches, volunteers, medical personnel or any other SCORNAVACCO MARTIAL ARTS ACADEMY personnel, other participating martial arts organizations, affilliated clubs/schools, administrators, volunteers, other participants, their parents or guardians, supervisors, instructors, coaches, sponsoring organizations and/or any other individuals and/or entities for any and all injuries including death or damage incurred while entering or in the premises while participating in classes, practices, demonstrations, training and competitions at or away from the premises. I further agree to indemnify and hold harmless, SCORNAVACCO MARTIAL ARTS ACADEMY, its principals, instructors, supervisors, and others of SCORNOVACCO MARTIAL ARTS ACADEMY, against any and all claims, liability and damages that may result from my use of the martial arts or someone else's use of the martial arts on me.

8. I (an adult as defined by local and state laws) do agree to all the above statements, conditions, waivers, indemnifications, and consent to participate under the above conditions.

9. I/We as parents or legal guardians of a minor have instructed this minor of the provisions hereof and consent to the minor's participation. I/We additionally confirm and agree to all and adopt and ratify as my/our own all the rules, regulations, representations, waivers, releases, indemnifications, etc. included herein.

10. I, the undersigned, do hereby grant permission to Scornavacco Martial Arts Academy to use my likeness or representation, or that of my child, -- including any photo, image, text or video -- for the purposes of advertising, promotions or social media both off-line and on-line.

I/We agree to the above terms  

I/WE HAVE READ THE ABOVE AND UNDERSTAND THAT I/WE GIVE UP SUBSTANTIAL RIGHTS BY SIGNING THIS VOLUNTARILY.

Adult or Legal Guardian: {sign_name} / {sign_date}

MEMBERSHIP AGREEMENT

The Federal Equal Credit Opportunity Act prohibits creditors from discriminating against credit applicants with respect to any aspect of a credit transaction on the basis of race, color, religion, national origin, sex or marital status, or age (provided the applicant has the capacity to contract). The agency that administers compliance with this law is the Federal Trade Commission, Equal Credit Opportunity, Washington, D.C.  20580.

Member Information (Name on Credit Card or Bank Account used to make purchase)

Member Name: {name} 

Student Information (Person using services)

Member Name:  {name}     Address: {address} 

Phone #: {phone}      Secondary Phone #: {phone}  

Birth Date: {dob} Email: {email}  

PAYMENT AUTHORIZATION

Payment Terms:

1. Today's date is {sign_date}

2. Your agreement begins on {sign_date} and expires in {membership_duration} months, {expiration_date} 

3. Total sales price including enrollment fees is ${membership_total_amount}

4. Amount of Down Payment is ${membership_fees} 

5. Your monthly payment of {membership_fees} will be processed on this day each month, starting {start_date}.