U.S.J.A. Martial Art Training Agreement

Martial Arts Registration and Contract

First Name: ___________________________ Last Name: _______________________ Age: _____ Date of Birth: ___/___/_____ School Attending:_________________ To Be Completed By Student And / Or Parent / Guardian - If Under Age 21 Student and / or Guardian Name: First Name: _________________________ Last Name: _______________________ Phone : Home: (____) ____-______ Cell: (____) ____-______ Work: (____) ____-______ Driver's License Number: State ______ #____________________________ Address: _____________________________ City: ______________________ State and Zip:_________________________

Waiver and Release

I do hereby agree to participate in the United States Jendo Association (referred to as "U.S.J.A.") located in Anaheim, Califorina. The responsible party must read the entire contract before signing. I recognize the risks of injury that are common to performing anymartial arts program that my child or I participate in and I do hereby waive and release the United States Jendo Association (U.S.J.A.) from and against any and all claims, actions, causes of action, damages, costs, liabilities, expense of judgments, including attorney's fees and court costs, that arise out of my participation in this program. I hereby execute this Waiver and Release form permitting my minor child and / or myself to participate in the United States Jendo Association program. I understand that the classes are based on a twelve month calendar year and that tuition for the (years) school session is based on a twelve month calendar year. Students will average eight or more classes per month / per calendar year. I understand that three installments for new enrollments are due at registration: annual registration, first month and last month tuition. Last month tuition is a one-time fee as long as the student remains in the program. Students renewing will pay their annual registration fee on or before May 1st of each year. Tuition are due and must be paid on or before the 25th of each month, regardless of Student's absence, major holidays, and / or school holidays. I understand that I will not receive a courtesy bill reminder, and that tuition not received by the first of each month will assess a late charge, starting at $15.00. Returned checks will result in a $25.00 penalty fee. Each month student's will receive a bill for testing fees on (if eligible). Be advised that it is the Student and / or Guardian's responsibility to make sure payment is received on time. Delinquent accounts will be turned over to a collection agency. On-Line Bill Pay is the preferred method of receiving payment. All fees are subject to an annual increase due to the cost of living. I understand that students may not switch classes, or make up classes without prior approval and scheduling with the United States Jendo Association office. Adults can make up a class by assisting an instructor with another class, which will count towards training hours and 300 hours of Instructor Certification. All make up classes in the summer months of June and July, due to vacation or other obligations will always be credited. All other student make up classes are restricted from August through May, unless due to personal injury or serious medical illness. Student or responsible party must bring in a doctor's note stating the reason for the absence and indicating as to when the student may return to class. If student needs to change their class time due to other sport obligations, or for any other reason, scheduling must be approved and confirmed by the Company's office. Student tuition must be in good standing in order to receive make up classes. I understand that Registration fees, tuition, equipment, camps, birthday parties, and private lessons are non-refundable. I understand that if I wish to terminate membership I will provide the United States Jendo Association a ninety day advance written notice on or before the 25th of the current billing cycle month, along with the required termination form, signed by the student and / or guardian and office manager (form is available, and must be completed through the United States Jendo Association office). Tuition Fees must be paid in full and your account must be in good standing (payment including the first sixty days of the ninety day period - the last thirty days will be applied from initial registration before a Student Termination request will be accepted by the United States Jendo Association and or the United States Jendo Association Billing Company. I also understand that the last month tuition is a one-time fee as long as the student remains enrolled in the program. There are no pro-rations or refunds upon registration enrollment excluding the following exceptions. When a new student enrolls during their first month and wishes to start immediately with fewer than eight classes left in a month. For that month only a pro-ration will be allowed and charged $10.00 per class. This does not apply during major holidays, school holidays, and / or when the dojo is closed. Uniforms, equipment, camps, private lessons, etc. are all additional costs and are not included in with tuition or registration. It is the Parent and / or Guardians responsibility to bring the student to training and to pick them up; we do not have monitors at this time. Siblings must be monitored and quite at all times or will be asked to leave. We do ask that students come to class dressed and remain seated or line up in designated area prior to their scheduled class. Parents and family members are welcome to watch classes, but must be quiet and not disturb the students or staff. By signing below indicates that you have read the Waiver and Release guidelines, terms and conditions, and regulations on this contract and fully understand the contents. This contract will remain on file in the United States Jendo Association

office unless the terms and conditions change. At that time a new contract will be executed. I have executed this Waiver and Release this ______ day of _______, 20______. ___________________________________________________ Signature of Student or Parent / Guardian if under the age of 21 ___________________________________________________ Signature of Company representative