{Name} - Full Name
{DOB} - Date Of Birth (Example 04/24/1973)
If You Are Under 18 We Will Need Your Guardian To Fill Out The Rest Of This Form! Thank You
{Name} - Guardian Full Name
PAYMENT POLICY: I understand that BJJ BOSTON 24/7/365 does require members to sign a contract for a one year commitment of time, and members may not cancel at any time! Unless they notify PROFESSOR BRIAN CALDWELL or MONICA CALDWELL of sufficient reasons which will be discussed by both parties! If determined viable the membership will be terminated with a ($200) cancellation fee that will be implemented and if you return the new membership rates will apply! I also understand if I come in during the middle of the month that my first month will be prorated. I understand that BJJ BOSTON 24/7/365 is a new academy and relies on the prompt club dues payments of members to stay open. A ($15) late payments fees will be added onto your account if membership dues are 5 DAYS past the required due date! If needed a monthly invoice will be sent to you by email. I agree to pay all club dues as soon as possible, either by credit card, Payment App, Cash, or Check payable to BRIAN CALDWELL (BJJ BOSTON 24/7/365). If I am unable to make a payment, I will notify PROFESSOR BRIAN CALDWELL or MONICA CALDWELL and make an arrangement. Club dues are not tax deductible. I understand that any purchase of Gi's, Belts, Rash Guards, Spats, Shorts or a Promotion fee is payable upon delivery. Any special order items are payable before the order is placed.
Please Check The Box If You Understand The Payment Policy -
MEMBERSHIP RULES: Never leave the mat or the dojo without receiving permission from the instructor. No food, drink or chewing of gum are allowed on the mat. No non-jiu jitsu activity is to take place during class time. Show your instructor respect by paying attention. Save the conversation for after class. Report all injuries to the instructor immediately. When arriving at class with an injury, the instructor must be notified prior to the start of class. Shoes are NEVER to be worn on the mat. Water bottles are permitted in the designated area at mat-side. Water bottles are too have water or electrolyte beverages (like Gatorade) only. Never come to class under the influence of drugs or alcohol. Members are to keep their Kimonos clean and in good repair. Finger and toenails are to be kept clean and trimmed to a reasonable length to prevent injuries to training partners. No jewelry may be worn during class. Members without uniforms should not have anything in their pockets. BJJ involves pulling on the clothing, and whatever you wear could become torn. No practicing BJJ or new techniques is allowed without permission of the instructor. This includes techniques you learned on the internet, saw during a competition, or on a video. Spills are to be cleaned immediately. Trash should be placed in the proper container. Bullying is not tolerated in or out of the dojo. Members using their BJJ skills for bullying will not be allowed to return.
Please Check The Box If You Understand The Membership Rules-
PRIVACY POLICY: I understand that occasionally, photos and videos from club competitions and practices will be used in promotional material for the club. I agree to allow my image or my child's image to be used for this purpose and that I will not be compensated. I also understand that once a promotional item has been produced, it is not possible to remove my image or my child's image from the production.
I also understand that the club will never share my contact information for commercial purposes. I may, however, be contacted by the club managers about club announcements and information relevant to club membership.
Please Check The Box If You Understand The Privacy Policy-
DISCLAIMER AND WAIVER OF LIABILITY: Recognize and understand that martial arts training is a physical contact activity and that my participation might result in serious injury, including permanent disability or death, and severe social and economic loss. Recognize and understand that such risk may be due to not only my own actions, but also the action, inaction or negligence of others. Recognize that there may be other risks that are not known to me or to others or not reasonably foreseeable at this time. Agree to inspect the facilities, equipment and pairings prior to participation. I will immediately inform an instructor if I believe that anything is unsafe or beyond my capability and refuse to participate. Assume all of the foregoing risks and accept personal responsibility for any damages that may result from injury, permanent disability or death. Enter martial arts training and/or competition entirely of my own free will and understand the importance of following the rules of training and competition. I certify that I am in good physical condition, and have no disease, injury or other condition that would impair my performance or physical and mental well-being during training practice and/or competition. If I have any injuries or illnesses that could affect my ability to participate, I will notify the club managers and coaches, and discuss the appropriateness of martial arts training with my or my child's doctor. Grant permission in case of injury to have a doctor, nurse, athletic training or other emergency medical personnel provide me or my child with medical assistance or treatment for such injury. The cost of any treatment or hospitalization arising from injury during training or play shall not under any circumstance be paid by BJJ BOSTON 24/7/365, its affiliated organizations and governing bodies, their officers, instructors and personnel, other members of the organizations, participants, supervisors, coaches, sponsoring organizations or their agents. Release, waive, discharge and covenant not to sue, BJJ BOSTON 24/7/365, its affiliated organizations and governing bodies, their officers, instructors and personnel, other members of the organizations, participants, supervisors, coaches, sponsoring organizations or their agents, and if applicable, owners and leasers of the premises from any and all liability to the undersigned, his or her heirs and next of kin for any and all claims, demands, losses and damages which may be sustained and suffered on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releasee or otherwise.
I have read, understood, and accept the disclaimer and liability waiver and initial it of my own free will! -
If You Are Under 18 We Will Need Your Guardian Signing The Document At Bottom Of The Waiver!