Sharon Forms

To enroll, either fill out the forms below, or download and print all three forms to bring to class.  Thank You!


Enrollment Agreement Form

Student *
Student
2nd Student
2nd Student
3rd Student
3rd Student
Home Phone Number
Home Phone Number
Parent *
Parent
Cell Phone Number *
Cell Phone Number
Second Parent (optional)
Second Parent (optional)
Cell Phone Number
Cell Phone Number
Emergenct Contact Person *
Emergenct Contact Person
Phone Number *
Phone Number
How did you hear about us?
Have you ever studied martial arts before?
Do you have any disabilities or are you on any medications that could prevent you from fully participating in the course of study? *
Have you ever been diagnosed or suspected of being at risk (family history) for any medical condition that may inhibit your physical activity for any period of time, or pose any risk during class that instructors may need to be informed of, such as high blood pressure, heart disease, asthma, diabetes, etc? *
Date of Enrollment *
Date of Enrollment

Waiver and Release Form

I,
I,
On behalf of,
On behalf of,
(hereinafter referred to as “MINOR”) HEREBY WAIVE AND RELEASE, indemnify, hold harmless and forever discharge American Cadre Karate and its agents, teachers, trustees, employees, officers, directors, affiliates, successors and assigns, of and from any and all claims, demands, debts, contracts, expenses, causes of action, lawsuits, damages and liabilities, of every kind and nature, whether known or unknown, in law or equity, that I or MINOR ever had or may have, arising from or in any way related to MINOR’S participation in any of the events or activities conducted by, on the premises of, or for the benefit of, American Cadre Karate provided that this waiver of liability does not apply to any acts of gross negligence, or intentional, willful or wanton misconduct. I understand that the activities that said MINOR will participate in are inherently dangerous and may cause serious or grievous injuries, including bodily injury, damage to personal property and/or death. On behalf of myself, MINOR, my heirs, assigns and next of kin, I and said MINOR waive all claims for damages, injuries and death sustained to me or my property,that I or said MINOR may have against the aforementioned released party to such activity. MINOR has the necessary and requisite skills to participate in all facets of, and activities of and requested of this facility, except as noted below. The nature of the activities has been fully disclosed and any flyer, advertisement, or brochure relating to the participating activities is expressly made a part of this WAIVER AND RELEASE. I further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately exercise my parental/guardianship rights and discontinue further participation by said MINOR in the activity. By this Waiver, I, on behalf of said MINOR, assume any risk, and take full responsibility and waive any claims of personal injury, death or damage to personal property associated with American Cadre Karate including but not limited to using the facility and its equipment in any manner, form or fashion, and practicing and/or engaging in any aerobic activity or action sports activities, events or other related activities on and off the premises. This WAIVER AND RELEASE contains the entire agreement between the parties, and supercedes any prior written or oral agreements between them concerning the subject matter of this WAIVER AND RELEASE. The provisions of this WAIVER AND RELEASE may be waived, altered, amended or repealed, in whole or in part, only upon the prior written consent of all parties.The provision of this WAIVER AND RELEASE will continue in full force and effect even after the termination of the activities conducted by, on the premises of, or for the benefit of, American Cadre Karate whether by agreement, by operation of law, or otherwise. I have read, understand and fully agree to the terms of this WAIVER AND RELEASE. I understand and confirm that by signing this WAIVER AND RELEASE said MINOR and I have given up considerable future legal rights. I have signed this Agreement freely, voluntarily, under no duress or threat of duress, without inducement, promise or guarantee being communicated to me. My signature is proof of my intention to execute a complete and unconditional WAIVER AND RELEASE of all liability to the full extent of the law.
Date
Date
Name of Minor
Name of Minor
Name of Parent/Guardian
Name of Parent/Guardian

Direct Payments Form

AUTHORIZATION FOR RECURRING DIRECT PAYMENTS (ACH DEBITS)

In order to set up your recurring payments, this form will need to be filled out.  You may print it and bring it in, or fill it out at the school. 

All You will need to fill this form out is:

-Depository Bank Name, Branch City, State, and Zip Code. 

-Account Number, and Routing Number.