Who will be attending the Makoto After-School Program?

SELECT your Program Option:

SELECT your Weekly Commitment:



SELECT your Program Option:

SELECT your Weekly Commitment:




Parent/Guardian Information:




Medical Information:


Approved Pick Up List:

The following individuals -- other than the PRIMARY and SECONDARY contacts -- that are authorized to pick up your child(ren) are:





Payment Options.

Makoto accepts two forms of automatic payment:

  1. Charge to a Credit Card (MasterCard or Visa).
  2. Withdrawal from a Checking Account.

Monthly membership fees with be charged/withdrawn automatically on the 1st of every month. Please note: you will be charged for a full month no matter the month or holidays within. 


All the Fine Print...

This commitment covers from the first to the last day of the 2022-2023 school year. The commitment may only be cancelled or altered if:

1. The family relocates more than 25 miles from any Makoto location.
2. Makoto ceases to operate at the location where the members attends.
3. The member sustains injuries or health conditions which do not allow the member to continue.

If a member chooses to cancel their commitment part way through the school year, they will be responsible for paying 50% of what remains from their original commitment plus an Early Cancelation fee of $150. Notification of cancellation must be documented in writing and approved by an appropriate representative of Makoto. Makoto may request that you return all documents that are evidence of membership. Makoto reserves the right to cancel this commitment at any time during its length. If this commitment is canceled by Makoto an appropriate representative of the business will call, email or send written notice of the termination.

If the member becomes disabled or sustains a major injury during this commitment, the member shall have the option of:

1. Being relieved of liability for payment (put on hold) on that portion of the contract term for which you are disabled.
2. Extending the duration of the original commitment at no cost to you for a period equal to that of your disability.

Disability must be documented by a doctor and documents given to Makoto when notifying the business of the problem. Makoto may require that you be examined by another physician agreeable to you and the business at its expense.

In consideration of services to be received as a student of Makoto or The Martial Arts Studio on the aforementioned premises, the undersigned hereby releases and forever discharges the school, its heir(s), administrators, and instructors from any kind and all actions, cause of actions, liability claims, and demands upon or for reason of any damage, loss, injury, or suffering known and unknown which may be sustained by the student mentioned on the front of this document in connection with and in the course of receiving training on Makoto and/or The Martial Arts Studio premises by instructors, staff, employees, or fellow students of the school. He/she waives all rights to claims, actions, cause of actions, demand or suit for any loss, injury, damage, or suffering sustained as a result of anything other than gross negligence on the part of Makoto and The Martial Arts Studio. The undersigned assumes all the risks inherent and incident to this type of training and sports activity as a condition for applying for admission to Makoto or The Martial Arts Studio for the purpose herein above stipulated.

With membership you hereby give permission for images of you or the student to be captured through video, photo, recordings, and digital camera to be used by Makoto and The Martial Arts Studio on the Web or in promotional material. You relinquish any right to examine or approve the images, and waive any rights of compensation or ownership thereto the images used.

And, you hereby release, discharge and agree to save Makoto and The Martial Arts Studio as well as their heirs, assigns or legal representatives, and all persons functioning under his/her permission or authority, or those for whom he/she is functioning, from any liability that may occur or be produced in the taking of said picture and/or video, or in any subsequent processing and streaming thereof, as well as any publication thereof, including without limitation any claims for libel or invasion of privacy.



Who Told You About the Makoto After-School Program?


Let's make this official!

RegFox Event Registration Software