Shogun Martial Arts Membership Adjustment Form

Shogun Martial Arts Membership Adjustment Form

Form for use on upgrading/downgrading plans, pausing/canceling, and resuming memberships
Name on Payment Record (usually the name on your Credit card):*

First NameLast Name
Name of Student (if different than above, or child's name; otherwise leave blank):

First NameLast Name
Phone Number:*
Email Address:*
Please select the option which best describes what you are requesting:

Change membership plan (Upgrade/Downgrade)Pause/Cancel MembershipResume Membership
Please Chose the desired Upgrade/Downgrade Plan option:

Program 1 - Up to 3 classes per weekProgram 2 - Unlimited classes per week
Please Chose the desired Upgrade/Downgrade Plan option (2025):

Program 1 - Unlimited classes per weekProgram 2 - Student / Special discount planChange Number of Members on Family Plan (please type requested change in the box)
Please select the reason(s) which describe your desire to pause membership:*

FinancialHealth RelatedIssues with FacilityDifficulties with Personal ScheduleSchool SportsOther
Cancel/Pause/Resume Disclaimer:

By submitting this form, I hereby agree to make the above changes to my account. I also hereby agree and fully understand Shogun Martial Arts LLC has a 30-Day notice required to cancel membership, as per the Membership terms agreed on upon enrollment. If you have a payment scheduled in that alloted timeframe, please be aware that payment must process, and cannot be cancelled.

If resume date is submitted below, I acknowledge my payment and classes will resume on the date selected. Your tuition rate will not be affected by chosing this option.

If resume date is not submitted below, you acknowledge cancellation of your program and will be subject to paying the current standing tuition rate upon return (promotions at the time of return are not applicable).
Pause/Cancel Date:*

MonthDayYear
Date
Resume Date:

MonthDayYear
Date
Comments to improve our school / anything to add to the submission:
Today's Date and Time (auto-filled; no response necessary):*

MonthDayYear
Date
Hour: MinutesAM/PM Option
Signature to Approve Changes:*

Clear
Should be Empty: