Contact Information

Student Waiver

Installment Payment Method / Authorization for Payment 

The Buyer hereby authorizes the company or its agents and/or assigns to electronically deduct/process on or after the due date for each consecutive billing cycle tuition payments directly from the following bank or credit/debit card accounts according to the terms of this agreement and to resubmit returned/declined items without prior notice. This payment information will be used to collect any balances past due according to the terms. 

TERMS AND CONDITIONS 

BUYER FITNESS - By signing this Contract, the Buyer represents, warrants and ensures that he/she has had an opportunity to observe the program selected prior to signing this Contract and that Buyer (or Member, if a minor) he/she is physically and mentally able to take classes offered by the Seller in that program or any others in which Buyer (or Member, if a minor) may participate.  

negative/derogatory reviews via on line & social media. response of such event.   

IF YOU DON’T USE THE FACILITIES OR TAKE THE CLASSES: 

Even if our facilities and services are not used you will still be responsible for financial obligations agreed to by you under this contract West Los Angeles Dojo.  
Non-management staff may not alter payment structures in any way.  This agreement contains all the terms and conditions agreed to and no other agreement of any kind, verbal understanding, or promise whatsoever will be recognized or binding upon West Los Angeles Dojo.  This agreement is transferable to another family member or to others as allowed by company policy.  This contract is non-refundable.  

LIABILITY, WAIVER AND RELEASE  

The Buyer understands and acknowledges that strict observation of the Seller's rules and regulations, including the rules and regulations relative to training and the use of protective equipment, is required. The Buyer understands and agrees that the use of the Seller's facilities and the Buyer's (or Member, if a Minor) presence at the Seller's school are at the sole risk of the Buyer (and Member, if a Minor). The Buyer understands and acknowledges that the martial arts involves skills and training which include violent and sudden movements, and that in connection with the training and instruction, there will be physical contact between instructors and Buyers (or Member, if a Minor) and between and among the Buyer (or Member, if a Minor) and other Buyers (or Members, if a Minor). The Buyer understands and acknowledges that such contact may result in personal injury to the Buyer (or Member, if a Minor, despite precautions taken by the Seller to avoid such injuries. Buyer, individually and on behalf of (Member, if a Minor) acknowledges martial arts instruction has the potential for serious injuries including but not limited to knee, head, neck, joint or spinal injuries, and includes cardiovascular exercise which should not be undertaken by individuals with heart defects or high blood pressure. The Buyer, individually on behalf of him/herself, (and Member, if a Minor) and anyone claiming by or through the Buyer (and Member, if a Minor), hereby agrees to hold harmless, release, indemnify and forever discharge West Los Angeles Dojo, its officers, directors and employees, instructors, agents and authorized representatives from any liability, claim or loss, including loss of property, damage, personal injury, or expense incurred by the Buyer (and/or Member, if a minor) and arising from the Buyer's execution of this Contract, participation in any program offered by the Seller, including but not limited to, any injury or damage caused by the negligence or gross negligence of the Seller, it's instructors, Buyers, agents, employees, operators, or authorized representatives. The Buyer specifically understands and agrees that he/she is assuming the risk of any and all injuries that he/she may suffer or incur as a result of his/her participation of any program offered by the Seller therefore buyer agrees and waives all rights for any legal actions or harm to the buyer.  

ACCEPTANCE OF BUYER: 

The Buyer agrees to fully and completely comply with all the terms and conditions hereof and the Seller's rules and regulations. No refunds on any paid tuition or purchases. Entry level programs & yearly memberships cannot be put on hold and missed times cannot be added. Buyer's (and/or Member's, if a minor) failure to comply with the Seller's rules and regulations shall be grounds for immediate suspension or termination of the Buyer (and/or Member, if a minor). The suspension or termination of Buyer (and/or Member, if a minor) shall not entitle the Buyer to a refund or credit for any tuition or test fees already paid, or shall act as a cancellation of any unpaid balance due. Upon the suspension and/or termination of the Buyer (and/or Member, if a minor), the entire remaining Contract. Seller reserves the right to use all photos, videos, and or audios taken of Buyer (and/or Member, if a minor) for promotional, marketing and any other purposes for the Seller's benefit. Buyer (and/or Member, if a minor) acknowledges that there are additional charges for , retail, equipment, special events, tournaments, change of uniforms and rank promotion examinations which are not included in the price of this contract. Seller at notice may relocate within five miles from its current location, and or to another affiliate location and same membership terms apply. This contract is non-transferable and upon termination of this agreement by the seller no refund shall be due.      

CONTRACT, CANCELLATIONS, LATE PAYMENTS, NSF CHECKS:  

LATE PAYMENTS:   If we do not receive a payment within ten (5) days after the date it is due, we may charge you a late charge of $25 or 10% of the payment, whichever is more.  If you remain in default for more than 30-days we can demand the entire amount you owe.  Buyer agrees to pay attorney’s fees and/or other collection fees.  If at any time your account is caused to be billed rather than continue to be processed via EFT then $25 will be added to the monthly fee. 

RETURN CHECKS:  You will incur a minimum of a $35 fee for all return checks or NSF EFT transactions, which must be paid within 10 days.  All allowable penalties must be paid in a timely manner. 

CANCELLATION:  This is a contract and is legally binding upon you.  Before you sign it be sure you understand your obligations.   

It is non-refundable.  You may cancel this agreement penalty-free within 3 days of Execution Date of this agreement, exclusive of holidays and weekends Any allowed cancellation requires notice via email to: info@westladojo.com or West Los Angeles Dojo, 4224 Sepulveda Blvd., Culver City, CA 90230 

Cancellation provisions: 

1. If you miss the initial cancellation period, this contract is binding and you will be required to fulfill this constractual obligation.  

1. You may cancel ongoing payment obligations if any if you move your residence more than 15 miles from West Los Angeles Dojo.  Cancellation requires written proof of new permanent address and 60 days advance notice to West Los Angeles Dojo. 

1. You may cancel ongoing payment obligations if any, if we move our facility more than 10 miles from our original address and do not provide an alternative training location. 

1. You may cancel ongoing payment obligations if any if the student incurs permanent injury that through the opinion of a Medical Doctor eliminates the ability to participate in martial arts lessons. 

1. This agreement is between Buyer and West Los Angeles Dojo; we reserve the right to may change billing companies without notice or consent. 

I HAVE READ THE ABOVE WARNING, WAIVER AND RELEASE, AND UNDERSTAND THAT I GIVE UP  SUBSTANTIAL LEGAL RIGHTS AND REMEDIES BY SIGNING IT, AND KNOWING THIS, SIGN IT VOLUNTARILY.  I KNOW THIS IS A LEGAL DOCUMENT AND THAT I MAY HAVE LEGAL COUNSEL REVIEW THIS DOCUMENT  PRIOR TO ITS EXECUTION. I AGREE TO PARTICIPATE KNOWING THE RISKS AND CONDITIONS INVOLVED  AND DO SO ENTIRELY OF MY OWN FREE WILL. 

WEST LOS ANGELES DOJO
APPLICATION FOR ENROLLMENT/PARTICIPATION AGREEMENT

NAME-{name}AGE-{age}
DATE OF BIRTH-{dob} HOME PHONE {phone}
E-MAIL ADDRESS
ADDRESS {address} CITY {address} STATE {address} ZIP {address}
MOBILE/CELL PHONE {phone} HOME PHONE {phone} WORK PHONE {phone}
PARENT OR LEGAL GUARDIAN {name}
MOBILE/CELL PHONE {phone} WORK PHONE {phone}
DATE OF ENROLLMENT {sign_date} STUDENT HEIGHT  
EMERGENCY CONTACT {name}
EMERGENCY CONTACT PHONE {phone}

STATEMENT OF HEALTH AND LEGAL WAIVER:

I, {name} DO HEREBY STATE MY INTENT TO ENROLL IN
THE WEST LOS ANGELES DOJO PROGRAM OF MARTIAL ARTS INSTRUCTION AND WILL
ABIDE BY THE REGULATIONS, CUSTOMS, CEREMONIES, AND CODE OF CONDUCT SET
FORTH BY THE INSTRUCTOR AND SCHOOL AS A WHOLE.

FURTHERMORE, I CERTIFY THAT I AM IN GOOD HEALTH, AND KNOW OF
NO IMPAIRMENT TO MY HEALTH OR PHYSICAL BEING THAT WOULD PREVENT ME
FROM PARTICIPATING IN THIS PROGRAM OF MARTIAL ARTS INSTRUCTION. I FULLY
UNDERSTAND THAT BY PARTICIPATING IN A MARTIAL ARTS PROGRAM THAT THERE
IS THE POSSIBILITY OF ACCIDENTAL INJURY WHICH MIGHT BE SUSTAINED IN
CONNECTION WITH THE ACTIVITIES OF THE WEST LOS ANGELES DOJO PROGRAM OF
MARTIAL ARTS INSTRUCTION, MARK FRANCO, BUJINKAN WHETHER IN INSTRUCTION OR TRAINING. I FURTHER AGREE TO ASSUME THE RISK OF ANY ADVERSE EFFECT ON MY HEALTH DUE TO MARTIAL ARTS TRAINING BY THE WEST LOS ANGELES DOJO INCLUDING, BUT NOT LIMITED TO JOINT-LOCKS, THROWS, CHOKES, ATTACKS, DEFENSES, WEAPON TRAINING INCLUDING, BUT NOT LIMITED TO SWORD, STAFF, SPEAR, ROPES, CHAINS, SHURIKEN.

IN CONSIDERATION OF THE PRIVILEDGE OF PARTICIPATION IN
THE ACTIVITIES OF THE WEST LOS ANGELES DOJO PROGRAM OF MARTIAL ARTS
INSTRUCTION, I HEREBY WAIVE ANY CLAIM AGAINST THE WEST LOS ANGELES DOJO, MARK FRANCO OR ANY INSTRUCTORS OR PERSONNEL INVOLVED WITH
THIS SCHOOL, BY VIRTUE OF ANY PERSONAL INJURY THAT I MIGHT SUSTAIN IN
CONNECTION WITH THE ACTIVITIES OF THE SCHOOL OR ANY SUBSEQUENT
TOURNAMENTS OR OTHER PLACE OF PARTICIPATION IN CONNECTION WITH THE
ACTIVITIES OF THE WEST LOS ANGELES DOJO TO INCLUDE INJURIES CAUSED BY ACTS OF
NEGLIGENCE. I ALSO HEREBY AGREE NOT TO ASSERT ANY SUCH CLAIM AGAINST WEST LOS ANGELES DOJO, MARK FRANCO OR ANYONE CONNECTED WITH SAID ORGANIZATION.


STUDENT SIGNATURE   DATE {sign_date}

IF STUDENT IS A MINOR, PARENT OR LEGAL GUARDIAN MUST SIGN BELOW:
PARENT OR LEGAL GUARDIAN {name} DATE {sign_date}
(RELATION OF GUARDIAN
ORGANIZATION REPRESENTATIVE {name} DATE {sign_date}