I agree to provide a 30 day cancellation notice when terminating my membership. Furthermore, I understand that any recurring membership payments due within that 30 day window will be processed. I also understand I am authorized to use any classes I am due in the 30 days following the final payment. Once that 30 days from the last payment is passed, I forfeit all remaining classes/credits.
Nor'easter Martial Arts, LLC d.b.a. Randy Brown Mantis Boxing and Brazilian Jiu-Jitsu reserves the right to dismiss any student due to misconduct, failure to obey rules or policies, disruptive behavior, or any other violation of Nor'easter Martial Arts, LLC policy.
I agree to join Nor'easter Martial Arts, LLC under all of the terms and conditions set forth on this application.
I understand that classes at Nor'easter Martial Arts, LLC d.b.a. Randy Brown Mantis Boxing and Brazilian Jiu-Jitsu, may be physically strenuous, and I voluntarily participate in them with full knowledge that this involves the risk of all types of personal injury, property loss, or death.
I understand that it is my responsibility to consult a physician before beginning my training.
I understand that it is my responsibility to provide the proper equipment for my activities at Nor'easter Martial Arts, LLC, and my responsibility to maintain my equipment in safe operating condition.
I am responsible for any medical expenses I incur as a result of my training at Nor'easter Martial Arts, LLC.
I agree to release Nor'easter Martial Arts, LLC, its officers, agents, and employees from any and all liability arising from any loss, damage, injury or cause of action resulting from my participation in Nor'easter Martial Arts, LLC classes, competitions, or events, or in traveling to or from classes, practices, competitions, events and social activities. This promise extends to liability arising from negligence of Nor'easter Martial Arts, LLC, its officers, agents, and employees, and any other cause. I further agree, for myself, my heirs, executor, or administrator, to indemnify Nor'easter Martial Arts, LLC and its officers, agents and employees and hold them harmless from any such liability, claims, demands or causes of action.
If an emergency contact, parent, or guardian cannot be contacted in the event of a medical emergency requiring immediate attention, I hereby consent to allow Nor'easter Martial Arts, LLC to take action to place this applicant into the care of a qualified healthcare professional and/or an appropriate medical treatment authority or facility, and do hereby release Nor'easter Martial Arts, LLC , its principals, instructors, and others associated with Nor'easter Martial Arts, LLC from any and all liability for any consequence arising from such action.
June 26, 2019