After School Application

Signature* Our After-School Karate lasts the duration of a school year.
There is a MANDATORY 2-week cancellation notice. You are responsible for the
tuition during the 2-week notice whether your child attends or not.

Signature* Tuition is due NO LATER than WEDNESDAY for the current week.
If tuition is not paid by WEDNESDAY of the current week due, I First Name   Last Name   hereby authorize. Elite Legacy Martial Arts LLC to charge my credit/debit card the following week for the tuition due plus a $25 late fee.

Signature* Tuition is due EVERY week, even if your child is not
attending. We DO grant ONE vacation week per school year in which tuition does
not have to be paid. This week must be signed up for at the front desk (15)
days in advance.

Signature* There is NO discount or prorated payments for missed days in a week.

Signature* We are not responsible for lost and stolen items.

Signature* We accept Cash, Check, and all major credit cards for
tuition payments. There will be a $25 returned check fee for all checks. Should
a check be returned twice, cash, money order or a credit/debit card will be the
only acceptable forms of payment.

Signature* If your child will not be attending his/her school on a
particular day and does not require pickup or transportation to our facility,
we do require a notification prior to 12:00pm on the day of absence. Failure to
do so will result in a warning on the first offense and a $15.00 fee for each
additional offense.

Signature* Children will be allowed to choose what room they want to go
into without assumption of supervision.

Signature* outstanding balances that are left unpaid will be turned
over to our attorney for immediate collection. Any court costs, filing fees,
attorney fees or other related fees associated with the collection of unpaid
balances will be at the expense of the member.

   Signature*   I hereby grant permission to the rights of my child’s image, likeness and sound of his/her voice recorded on audio or video tape without payment or any other consideration. I understand that the image may be edited, copied, exhibited, published, or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the image or recording. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area.

By signing this agreement, I    First Name*   Last Name*   agree to all the terms and conditions laid out by Elite Legacy Martial Arts LLC. I hereby acknowledge that a staff member of ELMA has reviewed and explained the information contained in this agreement. I understand that ELMA does not accept pro-rated payments for any days/weeks missed. I am obligated to pay my balance in full. I understand that my child must follow facility rules. Furthermore, I acknowledge and understand that tuition payments are due by Wednesday of the current week for childcare services to be rendered for the following week. ELMA reserves the right to charge a $25 late fee if the payment schedule is not received on or before Wednesday of the current week. If the full balance is not paid prior to the following week, ELMA reserves the right to suspend services due to nonpayment.

Signature*    I hereby authorize Elite Legacy Martial Arts (ELMA) to automatically withdraw my tuition as per this agreement on Monday of each calendar week.

I   Signature*   hereby acknowledge and authorize Elite Legacy Martial Arts to charge my debit/credit card at the end of the business day Friday in
the event that a payment for services has not been made prior to Friday of the current week for services already provided for the current week. This card will be kept on file and in safe keeping with ELMA. It will only be utilized for tuition
payments, any late fees and/or outstanding balances that may have accrued in
the account.