Training Activity: Martial Arts, Self-Defense, Physical Fitness Activities Personal acknowledgement of risk and waiver of claim. I, the undersigned, hereby release the owners, instructors, assistants, and all fellow participants and their families of the organizations known as "Bunker Hill Karate and Fitness, LLC" and "East Coast Training Systems, LLC" from any and all claims of any nature whatsoever stemming from my attendance or participation, or the attendance or participation of the group I represent or the minor in my charge, in the above named training activity/activities including, but not limited to physical illness, personal injury, and/or bodily harm that I/they/he/she may sustain and I further waive my/their/his/her rights at law to file any further claim. I understand and agree as a participant, parent or responsible adult in the case of an activity that includes minor children in my charge, in the above stated activity/activities, to release Bunker Hill Karate and Fitness, LLC and East Coast Training Systems LLC, its owners, instructors, assistants, and all fellow participants and their families from any and all actions and liabilities, claims, or suffering now and unknown which may be sustained by me, or those in my charge, regardless of any negligence or other action and conduct. I, the undersigned, assume all risks. In consideration of the furtherance of your purposes, objectives, and work, and in consideration of your permitting me to participate in the above named activity/activities, on behalf of myself, my heirs, executors, administrators, and assigns, and those in my charge, I hereby waive and release any and all rights and claims for damages that I, my children, or those in my charge, may have or incur during participation in the above named activity/activities, or any activity/activities associated with Bunker Hill Karate and Fitness, LLC and East Coast Training Systems LLC, against you, the facilities in which the activity is held, as well as any other person or organization connected to the above stated activity/activities, Bunker Hill Karate and Fitness, LLC, East Coast Training Systems LLC, owners and instructors, their heirs, executors, successors and assigns, for any and all illnesses and/or injuries that I, or those in my charge, may incur while participating in the above stated activity/activities, and any time before and after said activity/activities. I confirm that I, my children, or those in my charge, are cleared by a physician to participate in physical activity and have no known health restrictions. We at Bunker Hill Karate believe positive reinforcement is the best way to build a student's self confidence. If needed, we will assign pushups or excuse a student from activities, games, rewards, and/or class. Physical discipline and verbal abuse is never used or tolerated from anyone. Photographs and Media I also release the rights, without further compensation to me, to any photographs or video in which I, or those in my charge, may be a part of, either as the subject or in the background, to Bunker Hill Karate and Fitness, LLC for promotional purposes (website, flyers, social media, etc.) which are decent and relate to the services provided by Bunker Hill Karate and Fitness, LLC. Payment Options Accepted All payments are to be made on the scheduled due dates Cash - Accepted in person only. Personal Check - Make checks payable to "Bunker Hill Karate and Fitness, LLC". Any returned check fees will be charged to the student. Checking ACH Withdrawal – Automatic payment made on scheduled date automatically By agreeing to the student agreement and enrolling in ACH payments, I understand that because these are electronic transactions, these funds may be withdrawn from my account as soon as the transaction date. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of the bank account and will not dispute a transaction with my bank; so long as the transaction corresponds to the terms indicated in this authorization form. Credit/Debit Card - Mastercard, Visa, Discover, American Express accepted. All credit card transactions will be charged a 3.75% fee. A $10 late fee will be charged after 10 days of nonpayment. Any student not paid in full after 30 days may be considered "not in good standing" resulting in the termination of membership and not allowed to train till paid in full. Bunker Hill Karate and Fitness, LLC memberships are on a month to month basis and can be canceled anytime.