$1,395.00 $995.00
WHEN: July 1st – July 3rd 2024
WHERE: HAW RIVER STATE PARK. 339 Conference Center Dr. Browns Summit, NC, 27214
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{ARE YOU A STUDENT OR FULL TIME STAFF?:55}
Martial Arts World
CODE: ZF0
1630 East Colonial Drive
2022 UNIVERSITY AGREEMENT
SECTION I
DATE {Date:2}
Name of Buyer {BUYER NAME:26}
DOB: {DATE OF BIRTH:84}
AGE : {AGE:86} Gender: {GENDER:85}
Address_{REGISTRANT ADDRESS (Street Address):5.1} City_{REGISTRANT ADDRESS (City):5.3}_
State_{REGISTRANT ADDRESS (State / Province):5.4}
Zip Code: {REGISTRANT ADDRESS (ZIP / Postal Code):5.5}
Phone {Phone:6}
Email: {Email:7}
Martial Arts World Location/School: {NAME OF SCHOOL:29}
ATTENDEES:
{PARTICIPANT NAME:28}
DOB: {PARTICIPANT DOB:18}
AGE: {PARTICIPANT AGE:99}
Gender: {GENDER:19}
-- Balance Due: {BALANCE DUE FOR TERMS:98}
--Number of Attendees: {NUMBER OF ATTENDEES:82}
Total Balance Due will be paid by buyer in {NUMBER OF PAYMENTS (ONLY ON PDF):78} MONTHLY payments of $ {Total:74} commencing on {SELECT 1ST PAYMENT DATE(Must be within the next 60 days):60} and continuing until the Total Balance Due has been paid in full. A $10.00 late charge will be assessed for any fee 10 days past due date.
** Credit Card Authorization **
I/We hereby authorize AMS Inc., to withdraw from the information furnished below under the Company’s Preauthorized Payment Plan (checks, electronic fund transfers, Visa, MasterCard, Discover, or Amex). The payment will be processed the business day before, when drafting date falls on a weekend or holiday.
Name on Card {CARDHOLDER NAME (First):63.3} {CARDHOLDER NAME (Last):63.6}
CREDIT CARD #: {CARD NUMBER:65} EXP.DATE: {EXPIRATION DATE:66} SECURITY CODE#: {CVV:67}
Billing Address: {BILLING ADDRESS (Street Address):68.1} {BILLING ADDRESS (City):68.3} {BILLING ADDRESS (State / Province):68.4} {BILLING ADDRESS (ZIP / Postal Code):68.5}
Subject to the following conditions:
1. The items shall be drawn on or about the date or dates of the camp agreement.
3.This plan if canceled, does not release the buyer from buyer's obligation of membership agreement/ contract/agreement.
4.A service charge of $20.00 minimum will be applied to all insufficient drafts, checks, electronic fund transfers, or charge cards.
**NOTICE TO BUYER**
**Buyer will fill in all blanks and read the reverse side of this agreement before signing.
**Buyer certifies that he/she is in good health.
**Buyer agrees to make installment payments to A M S, Inc. in Orlando Florida.
**This agreement comprises the entire agreement pertaining to membership, and no other agreement of any kind will be recognized by us.
**CONSUMERS RIGHT OF CANCELLATION: You, the buyer, may cancel this agreement at any time prior to the midnight of the fifth business day of the center after the date of this agreement, excluding Sundays and holidays. To cancel this agreement, mail or deliver a signed and dated notice of cancellation to above address. This agreement may be canceled as to the affected person for reasons of death or substantial disability by providing a death certificate or disability statement by certified physician. I acknowledge to have read (or to have had read to me) the terms of this agreement in it’s entirely.
SECTION III
This Agreement executed the date shown front by and between (Martial Arts World Inc.) hereinafter referred to as the Center, and the buyer, who has caused his/her signature to be affixed hereto, and his/her children and any other individuals identified as “ATTENDEES” on the front side of this agreement, hereinafter referred to as Buyer or Enrollee.
The Center agrees to provide instruction in Martial Arts to the enrollee during the scheduled instruction hours of the Center. Enrollee understands that it is his or her responsibility to attend instruction sessions. Enrollee understands that the entire course fee stated front is due and payable according to the terms of this agreement whether or not enrollee chooses to attend instructional sessions provided by the Center. In consideration for the Center's promises to instruct and provide instruction facilities, Enrollee agrees and promises to pay the course fees shown on front.
In the event of default in the payment of any installment or fee in accordance with the terms above, or a breach of any of the covenants herein contained to be performed by the Enrollee, the balance due under this agreement shall become immediately due and payable.
Enrollee agrees to abide by the rules and regulations governing the conduct and operation of instruction sessions, students, and observers, in order to promote efficiency, safety, and recognition of the instruction certification, as prescribed by the Center. Enrollee acknowledges that rules and regulations governing the Center have been adopted, and may be changed from time to time, and Enrollee agrees to abide by all such rules and regulations as adopted or hereinafter amended. The hours of operation may be changed at the discretion of the Center. The Center reserves the right to revoke or terminate any agreement.
Enrollee agrees that all exercises and/or courses are undertaken at Enrollee’s own risk, and that each Enrollee has taken all reasonable steps to determine and hereby represent that he or she is in good health and physically capable of participating in the exercises, programs, and procedures as explained to him/her by an assistant of the Center. The Enrollee understands that there is a risk of personal injury involved in the course of instruction and with this knowledge agrees to indemnify and save harmless the Center and its officers, directors, and employees from all losses caused by accident or injury to the Enrollee, or to third persons, who may be with Enrollee of the Center, in the event that either the Enrollee or said third person is injured in any way during the performance and execution of exercises either at the Center, on field trips, or at special events either on or off the premises of the Center.
The company owning the Center and the agents and employees shall not be responsible for damaged, lost or stolen articles, inside or outside the facility.
The Enrollee and each of the Members irrevocably authorize the Center, its successors and assigns, and those acting under its authority, to copy, use, publish, for art, advertising, trade, or any other lawful purpose whatsoever, photographic portraits, pictures or video images of them, and recordings or transcriptions of their voices, in which they may be included in whole or in part, without compensation of any kind.
In consideration of the training obtained, the Enrollee and each Member agree that they will not, individually or collectively, during the continuance of this agreement and for a period of five (5) years following termination of my association with the Center, engage in teaching Martial Arts or offering similar training or instruction within a fifty (50) mile radius of any school operated by the Center without the express written authorization of same.
This Agreement shall be governed by the laws of the state appearing on the front side of this Agreement. Any action brought to enforce or interpret this Agreement shall be brought only in the federal and state court having competent jurisdiction and sitting in that County and State. Venue for proceeding shall be in the City appearing on the front of this Agreement.
If any provisions of this agreement shall be judged invalid for any reason whatsoever by a court of competent jurisdiction, such validity shall not affect the validity of any other provision of this Agreement.
Notice: Should you (the Buyer) choose to pay for more than one (1) month of this agreement in advance, be aware that you are paying for future services and may be risking loss of your money in the event this Center and/or this business location ceases to operate. This Center is not required to provide any security, and there may not be other protection provided to you should you choose to pay in advance.
We hereby authorize the center and its agents, successors and assigns to photograph me or my child(ren) and/or use our voice without restriction and to utilize such photographs and/or voice transcriptions for any commercial purpose, including but not limited to the promotion and marketing of the School, and we agree that we shall not be entitled to receive any compensation whatsoever of any kind as a result of such use.
Buyer is an attendee: {Registrant (Buyer) is Attendee:9}
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Martial Arts World University