Adult Membership Enrollment & Billing Authorization

Adult Membership Enrollment & Billing Authorization
Student / Account Holder Information
Parent / Account Holder Full Name*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Student Information
Student Name *
* If enrolling a child, please enter the student’s full name.
Membership Selection
Select Membership Program

Single Adult MembershipLaw Enforcement/First Responder Membership10 Class Punch Card
Billing and Membership Summary
Memberships & Billing
Memberships are billed monthly based on the program you select. A one-time $30 processing charge applies to all new and reactivating memberships.

Program-Related Charges
For kids programs, a $15 belt cost will be charged when a student is eligible for a new belt. This covers the belt only and is not part of tuition. Additional charges for uniforms or other program items may apply.

Pausing & Cancellation
Memberships may be paused for $10/month. To cancel or terminate, please provide written notice at least 30 days in advance.

Payment Issues
If a payment fails, Sanders Jiu Jitsu may attempt to process it again. A $25 fee may be applied for each failed transaction.
Billing & Membership Agreement
Please review the membership and billing terms before continuing. This includes recurring tuition, pause and cancellation policies, and applicable program-related charges.

By enrolling, you agree to recurring tuition billing, applicable program-related charges, a 30-day written cancellation notice, pause and reactivation terms, NSF fees, and kids belt costs when applicable. Please review the full Membership Agreement before continuing.
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Adult Membership Enrollment & Billing Authorization

Student / Account Holder Information

Student Information

Membership Selection

Billing and Membership Summary