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Child's First Name
Additional Children's First Name
Home Phone No.
Father's Cell No.
Mother's Cell No.
Emergency Contact Name (Other Than Parents)
Emergency Contact Phone No.
Doctor's Cell No.
Allergies / Medical Conditions
The following policies and regulations are intended to make Amerikick as safe, enjoyable and pleasant as possible for our members while permitting Amerikick to operate in an efficient and businesslike manner. The policies and regulations are applicable to all members and may be changed periodically as necessity and circumstances warrant.
Upon entering the school all Members must sign in at the front desk
Proper attire for all Members is the official Amerikick branded uniforms, sparring gear, weapons, and training equipment. No other is allowed.
- Upgrade Policy:
Members have up to 30 days to receive 100% credit towards a larger program. After 30 days, ONLY, the unused time accumulated may be credited.
- Classes & Group Activities:
Amerikick expressly reserves the right from time to time at its sole discretion to initiate, change or amend class schedules. No representation unless specifically made in writing shall obligate Amerikick to offer classes at any special time.
The policies and regulations of Amerikick are in inclusive and are subject to change from time to time at the sole discretion of Amerikick
- Media Release:
I hereby waive any and all compensation what so ever for the use of pictures, photographs or videos utilized for any marketing, advertising, and or any profit making motives now or in the future.
Amerikick reserves the right to suspend or terminate any membership for failure to comply with the terms and conditions or policies and regulations of Amerikick or for behavior that is in the opinion of Amerikick prejudicial to the welfare, good order, and character of Amerikick. It is expressly understood that loss of membership privileges shall be without refund of any fees already paid by the member.
The failure of the Member to use the facility or services of Amerikick hall not relieve the Member from the obligation to make any and all payments required under this agreement.
In the event that Amerikick is substantially unavailable for use due to change by fire, accident or act of God, the Member’s time shall be extended for a period of time equal to the time Amerikick is not in use.
- Program Policy:
It is expressly understood that programs are non-refundable and automatically renew at the program's end. Programs may be subject to rate change at the time of renewal. Program time may be extended or transferred at the sole discretion of Amerikick.
- Late Fees/Default:
In the event payment fails the Member shall remit payment within 7 days of its due date, it is agreed that the late charge of fifteen dollars ($15.00) shall be added to the amount due. No student may graduate to the next belt level until the account is in good standing. Liability Waiver-Member represents being physically fit to take the prescribed program. All use of the facilities shall be undertaken at the sole risk of the Member. Amerikick shall not be liable to Member for claims, demands, damages, injuries, loss of property or acts of negligence.
- Coupon Offers:
I understand any Amerikick coupons, discounts or offers are introductory specials designed to introduce new students to Amerikick and do not apply to current or formerly enrolled Members.
The undersigned does promise to pay Amerikick the sums of money stated herein and does give Amerikick permission to sell this agreement to an independent financial institution, or refer it to another company for collection. This agreement will become legally binding when you sign it. The agreement may be canceled with 30-day written notice prior to next billing date, which is the same each month as the first payment.
I've Read Amerikick Martial Arts Agreement and I Agree With It
2 Months for $99
3 Lessons + FREE Uniform