Paid Trial Membership Enrollment & Billing Authorization

Paid Trial Membership Enrollment
Account Holder / Parent Information
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
What Are You Signing Up For Today?*

2 Week Adult Trial Membership2 Week Child Trial Membership
Age of your Child?*
Summary
2-Week Trial Membership

Train with us for 14 consecutive days beginning upon submission of this form and payment processing. This is a one-time introductory offer for new students only. The trial is non-recurring and non-refundable, and does not pause or extend for missed classes.

Free Gi Promotion

Students must enroll in a recurring membership and complete their first payment prior to the end of their trial in order to receive the free gi.

Payment*

2 Week Adult Trial Membership

$45

2 Week Child Trial Membership

$40

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Credit Card

Apple Pay

Google Pay

Paid Trial Membership Enrollment