Martial Arts Student Enrollment Agreement Form (Page 2 of 3) in pdf

PARTICIPATION AND WAIVER

QUALIFIED HEALTH

Member warrants and represents that he/she is physically, mentally and emotionally fit to participate in the activities offered in this

membership and that he/she has no disability,impairment or ailment that would present a health risk as a result of such participation. If

you

have any injuries, physical limitations or any doubt as to your condition, you should consult your personal physician prior to engaging in

these activities.

DISCLAIMER OF LIABILITY

Member understands and acknowledges that there is inherent risk associated with many physical activities including the practice of

Karate and other forms of selfdefense.Member voluntarily accepts these risks and acknowledges that the course consists of physical

exercise and physical contact from which the member may suffer personal injury. The member agrees to forever relieve and hold

harmless Stonetown Karate Centre Inc., it’s Instructors, Members,customers and other participants from any and all liability or damages

resulting from either personal injury or theft & loss of personal property whether or not due to the negligence of Stonetown Karate

Centre Inc.

PERSONAL CONDUCT

In the practice of karate and other selfdefense activities, personal conduct directly affects personal safety, the safety of other Members

and the reputation of Karate Spirit. Members are required to conduct themselves in a manner that protects the safety of all participants

and others at all times. Failure to do so is in violation of this agreement. Stonetown Karate Centre Inc. reserves the right to terminate

membership for any reason whatsoever including behavior that is determined to be unacceptable.

OTHER TERMS

The member acknowledges and agrees that the course will be given by Instructors of Stonetown Karate Centre Inc. and that no specific

Instructor is guaranteed.

The member agrees that any photographs/videos taken of them may be used for promotional/online purposes by Stonetown Karate

Centre Inc. and that no compensation in any way will be received.

The member acknowledges that no oral or written representation has been made to them except as expressly recited in this contract.

The member agrees as a condition of this agreement never to teach, instruct, demonstrate, or exhibit karate, jujitsu, kick boxing or any

other form, system or method of selfDefence, Hand to Hand combat, Martial Art or Sport that is taught by Martial Art centres within a

25 km radius of any Martial Arts Centres or any other Academy, School, Club, or Studio directed, controlled by, or affiliated with

Stonetown Karate Centre Inc. without the written consent of Stonetown Karate Centre Inc. within three (3) years immediately following

the termination of this agreement.

The member agrees that Stonetown Karate Centre Inc. reserves the right to restrict, limit, eliminate, make additional or change any

class or schedule as it deems necessary.

The Member agrees to transfer and to receive instructions at any other Stonetown Karate Centre Inc.location as so designated by

Stonetown Karate Centre Inc. provided that any said Stonetown Karate Centre Inc. locations are within a twentyfive (25) kilometer

radius of the customers home residence or business.

The Member agrees that any and all dishonoured payments made payable to Stonetown Karate Centre Inc. will result in an additional

charge of $45.00 (fortyfive dollars) payable before class instructions can resume.

The Member may cancel this agreement without penalty at anytime within three (3) days of the date of this agreement by delivering

written notice to Stonetown Karate Centre Inc. and that Stonetown Karate Centre Inc. shall refund any monies previously paid by the

member.

The Member agrees to notify Stonetone Karate Centre Inc. of their plans to discontinue or change programs a minimum of thirty (30)

days in advance to avoid further billing.

Signed and Dated this ___________ Day of ______________ Year __________

MEMBERS/Guardian SIGNATURE: ____________________________________

(If under 18 years of age, this agreement must be signed by a parent or legal guardian)

(I have read and understand this agreement & terms. )

Martial Arts Student Enrollment Agreement Form Page 2

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