Child Membership Enrollment & Billing Authorization

Child Membership Enrollment & Billing Authorization
Parent/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.
What Are You Signing Up For Today?
Select One

Enrolling my child(ren) for the first timeAdding an additional child to an existing membership
Youth Membership Selection*

1 Child Unlimited – $100/month2 Children Unlimited – $185/month3 Children Unlimited – $270/month4 Children Unlimited - $355/month
Additional Child Enrollment*

Add an Additional Child – $85/month
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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Child Membership Enrollment & Billing Authorization

Parent/Account Holder Information

Student Information

What Are You Signing Up For Today?

Billing and Membership Summary