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Who will be training at The Martial Arts Studio?





INDIVIDUAL Membership:  (Youth Martial Arts, Wing Chun, Kempo, Daito Ryu, & Sword)

Select your Time Commitment:

* 5% surcharge for credit card payments

After 2 weeks, membership automatically renews to month-to-month rate, unless 12 month commitment is chosen by registrant.

No Registration Fee for Introductory weeks

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FAMILY Membership:

*3 or more members

*3 or more members

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FITNESS KICKBOXING Membership: ON HOLD

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My commitment will begin...

Your selected time commitment will automatically renew at your commitment's end date. If you wish to change the time commitment or cancel your membership after the commitment end, you must contact Mrs. Sarah La France at (610) 280-0873 or [email protected].. Commitments will not be put on hold.


Tell us all about the Payee or Parental/Guardian:


Don't Forget the Emergency Contact Information: 


We Also Need Medical Information:


And Finally... Payment Options:

The Martial Arts Studio 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Monthly membership fees with be charged/withdrawn automatically on the 3rd of every month. A payment link will be sent to you in your Confirmation Email. 


Read All the Fine Print...

After signing this commitment, the payee may cancel the commitment only if:

1. The individual or family relocates more than 25 miles from any Martial Arts Studio location.
2. The Martial Arts Studio ceases to operate at the location where the members attends.
3. The member sustains major injuries or death.

If a member chooses to cancel their commitment prior to its end date then the member will be responsible for the outstanding balance of their commitment plus a $100 Early Cancelation fee. Notification of cancellation must be documented in writing and approved by an appropriate representative of The Martial Arts Studio. The Martial Arts Studio may request that you return all documents that are evidence of membership.

The Martial Arts Studio reserves the right to cancel this commitment at any time during its length. If this commitment is canceled by The Martial Arts Studio an appropriate representative of the business will call, email or send written notice of the termination.

Any Registration Fee will be debited or charged within 7 business days of the completion of this form and is non-refundable. Payments will occur monthly with each monthly payment occurring on the 3rd of every month of the signed commitment.

By signing this waiver, the member (participant, parent, student, etc.) agrees to:

1. Assumption of Risk
I acknowledge that martial arts training is a high-risk activity that involves strenuous physical exertion, close contact with other participants, and the potential for physical injury. I assert that I am in good physical condition and able to participate in these Activities. I fully understand and accept the risks associated with my participation, including but not limited to, bruises, cuts, broken bones, and more serious injuries, disability, or death.

2. Waiver and Release of Liability
I hereby voluntarily waive, release, and discharge any and all claims, demands, or causes of action that I have or may have in the future against The Martial Arts Studios, Inc., and its owners, directors, officers, employees, instructors, agents, and representatives (collectively, the “Released Parties”) for any and all injuries, losses, damages, liabilities, or other harm that I may suffer as a result of my participation in the Activities, except for those caused by the gross negligence or willful misconduct of the Released Parties.

3. Indemnification
I agree to indemnifying and holding harmless the Released Parties from any and all claims, demands, losses, actions, and liabilities, including costs and attorney fees, arising out of or in connection with my participation in the Activities, or any breach of this Agreement by me.

4. Medical Attention
In the event of an injury, I give my permission to The Martial Arts Studios, Inc. or its representatives to provide first aid, seek emergency medical treatment, and to admit me to any hospital or medical facility for diagnosis and treatment. I agree to be responsible for all medical expenses incurred as a result of any treatment received.

5. Media Release
I consent to the photographing, recording, and videotaping of my participation in the Activities and authorize The Martial Arts Studios, Inc. and Makoto to use these photographs, videos, and recordings for promotional or educational purposes without remuneration.

5. Personal Property
I acknowledge that I am responsible for my personal property during my participation in the Activities and that the School is not responsible for any lost, stolen, or damaged personal property.

6. Understanding of Agreement
I affirm that I have thoroughly read this Agreement, fully understand its contents, and agree to its terms voluntarily. I acknowledge that this Agreement involves a release of liability and a waiver of my legal rights and also acts as a contract between myself and The Martial Arts Studios, Inc., and affects my legal rights.

7. Modification
This Agreement cannot be modified or interpreted except in writing by The Martial Arts Studios, Inc. and no oral modification or interpretation will be considered to have any effect.

8. Severability
If any provision of this Agreement is found to be invalid or unenforceable, the remaining provisions will continue to be fully effective.

9. Governing Law
This Agreement shall be governed by and construed in accordance with the laws of the state where The Martial Arts Studios, Inc. is located, without regard to its conflict of laws principles.


Other Customer Rights:

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 The Martial Arts Studios, Inc. when notifying the business of the problem. The Martial Arts Studios, Inc. may require that you be examined by another physician agreeable to you and the business at its expense.

Your selected time commitment will automatically renew at your commitment's end date. If you wish to change the time commitment or cancel your membership after the commitment end, you must contact Mrs. Sarah La France at (610) 280-0873 or [email protected].

In consideration of services to be received as a student of 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 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 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 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 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 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.



Student Commitment

1.) Enter training with an optimistic and enthusiastic attitude.
2.) Stay focused on training during class.
3.) Put forth 110% effort every time I'm on the dojo floor.
4.) Practice, practice, practice at home.
5.) Be respectful not only inside the dojo but outside it, too.
6.) Use my martial arts skills only when needed.
7.) Understand that the martial arts are not a seasonal sport, rather a mindset and lifestyle.



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