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Waiver / liability release

Waiver and Release of Liability

D&S Enterprises Unlimited, Inc., dba Lone Mountain Taekwondo

Participation is possible only if the participant accepts and signs the following waiver of liability which releases Sue Langdon, D&S Enterprises Unlimited, Inc., dba Lone Mountain Taekwondo, Super Kids Karate, Inc., instructors, agents, members and/or owners and lessors of the premises used to conduct the martial arts, sports or athletic training from liability.

Applicant affirms that he/she is in good physical condition and mental health and is aware that all activities, especially those with regard to actual physical training in the martial arts, are entirely voluntary, and any member can at any time elect not to participate in any activity which he/she feels may bear some element of risk or discomfort to his/her person.  Accordingly, the applicant accepts all conditions of membership and agrees to hold Sue Langdon, D&S Enterprises Unlimited Inc., d/b/a Lone Mountain Taekwondo, Super Kids Karate, Inc., instructors, agents, members and/or owners and lessors of the premises used to conduct the martial arts, sports or athletic training, harmless for liability for damages for any injuries, including but not limited to death, disability, serious bodily injury, and property damage arising from any of the activities of the school. I also understand that any treatment for injuries given will be of a first aid type only, and said treatment is given with my express permission.

I acknowledge that there are risks involved in martial arts training and that unanticipated risk may occur during training. The use of equipment, facility and premises shall constitute acceptance of that risk, regardless of the nature of the injury or medical condition.

To maintain a safe environment and health-conscious training, I will observe all school rules and safety guidelines and shall endeavor to use common sense at all times during my training and participation in school activities. Furthermore, I will inspect the facilities and equipment to be used, and if I believe anything is unsafe, I shall immediately advise my instructor of such condition(s) and refuse to participate. The terms of this agreement shall serve as a release and indemnity agreement releasing Sue Langdon, D&S Enterprises Unlimited, Inc., dba Lone Mountain Taekwondo, Super Kids Karate, Inc., instructors, agents, members and/or owners and lessors of the premises used to conduct the martial arts, sports or athletic training, from any and all liability for my heirs, personal representatives and all members of my family, including any minors, for any and all claims, demands, losses or damages on account for injury, including death or damage to property you may have against Sue Langdon, D&S Enterprises Unlimited, Inc., dba Lone Mountain Taekwondo, Super Kids Karate, Inc., instructors, agents, members and/or owners and lessors of the premises.

I further state that I am 18 years of age or older, and I am competent to sign this release.  I understand these terms are contractual and not mere recital in that I have signed this document of my own free will. (If you are under the age of 18, a parent or guardian must sign this release).

I HAVE READ THE ABOVE WAIVER AND RELEASE. I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND I HAVE SIGNED IT VOLUNTARILY IN CONSIDERATION OF BEING ALLOWED TO PARTICIPATE IN ANY AND ALL MARTIAL ARTS, SPORT OR ATHLETIC TRAINING AND OR INSTRUCTION OFFERED AND OR SPONSORED BY LONE MOUNTAIN TAEKWONDO AND/OR SUPER KIDS KARATE, INC.

 

PHOTO/VIDEO RELEASE

At times Lone Mountain Taekwondo and/or Super Kids Karate, Inc. may use photos and videos to promote Lone Mountain Taekwondo and/or Super Kids Karate, Inc. to the general public. I understand that I will not receive compensation in any form for the use of my photograph or photographic likeness and recorded voice.

I hereby consent to the use of my photograph, photographic likeness, recorded voice and/or image in video that may appear in any publications, promotional posters, flyers, brochures, printed and electronic ads or electronic media, in addition to the Lone Mountain Taekwondo and/or Super Kids Karate, Inc. website.  

Parent/Guardian Release: I am the parent or guardian of the minor child, and I am signing this Waiver and Release of Liability on behalf of the minor child. I SPECIFICALLY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE ABOVE WAIVER AND RELEASE OF LIABILITY AND PHOTO/VIDEO RELEASE WHICH I AM SIGNING ON MY CHILD/WARD’S BEHALF. Furthermore, I agree that it is my obligation to inspect the facilities and equipment to be used, and if I believe anything is unsafe, I shall immediately advise my child/ward’s instructor of such condition(s) and refuse to allow my child/ward to participate until said condition is corrected.

 

Done Clear Sign Below:

This agreement is between Lone Mountain Taekwondo, (LMTKD), the Student, and the Account Holder (CLIENT), who may also be the Student, and who is over 18 years of age. 

Service Provision: LMTKD will provide Taekwondo training in exchange for monthly tuition payments.  Training in other martial arts, if available, requires a separate agreement and fees.

Term and Renewal: This agreement is effective for 12 months from the date of signing and will automatically renew for subsequent 12-month terms.  The CLIENT may opt out of automatic renewal by providing written notice at least 30 days before the renewal date.

Tuition Fees: Monthly tuition is determined by the Student's rank, the number of students paid for by the CLIENT, and whether the CLIENT opts for auto-payment via a valid credit card. CLIENTS with an auto-pay agreement receive a 10% discount off the standard rate.  Special discounts may apply (refer to Exhibit A for rates and discounts).  The first tuition payment, pro-rated for the initial month, and a $50 enrollment fee is due upon signing up as a full member.   $50 Enrollment fee at start of membership includes a uniform.  Monthly invoices, due on the first day of the month, will be generated for each family, the billing date can be modified at clients request.  A year in advance payment can be made at any time for an additional 20% off.  A late fee of $10.00 applies after a 7-day grace period from billing date.  Tuition is non-refundable.  CLIENT may request once annually a one-time suspension of tuition for 1 month during which the student is not available to train.  Re-enrollment after a suspension longer than one month will be at the current rate for new students.  (currently $159 per month)

Moo Do Association Fee: A mandatory annual fee of $40 is required for Moo Do Association membership,-- providing benefits such as nationally recognized rank certificates, tournaments, seminars, classes and Kukkiwon ranking.  2 school patches, will be provided by LMTKD for free when client has paid Moodo Membership.  initials (________)

Training Program and Progression:  Regular attendance is essential for the Student's success.  Belt cycles last 8-10 weeks, and advancement to the next level is contingent on the head instructor's assessment of the student's attendance, behavior, and skills.  Parent permission is also required for students under age 18. Testing is not required every testing.  Testing fees are separate and detailed in Exhibit A.

Tuition Stability Guarantee:  Monthly tuition rates will not increase for active, uninterrupted enrollees without 60 days' notice.  Discontinuation for over a month, may lead to increased rates as per the current fee schedule. Students will be given 60 days' notice for any rate changes due to any changes, Discontinuation for longer than a month will result in student resuming training under the current membership pricing.  

Suspension of Agreement: 30 days' advanced notice is the only requirement to cancel your membership agreement with no further obligation.  In cases of injury, severe illness, or military deployments, the agreement and tuition can be temporarily suspended as requested by the student or their guardian until the Student's return.

Class Attendance Requirements: Student's are expected to adhere to the schedule based on rank and age. 2 to 3 classes per week is recommended.  All ranks are offered 2 to 4 classes a week. Ask your instructors for contingencies if your classes are in conflict with other activities.  All Students can attend lower rank classes in addition to their classes.  Attendance requirements for rank advancement are detailed in Schedule C.

Conduct Expectations: Respectful behavior, self-control, personal integrity, and proper use of equipment and Taekwondo weapons are mandatory.  Non-compliance may result in suspension or expulsion from the program.

Tournament Participation: Students are expected/required to participate in one LMTKD-sponsored tournament per year.  Stepping into the ring and measuring one's progress and ability against other students in competition is a fun part of the training and encourages the student to overcome obstacles in their daily lives.  Stepping into an unfamiliar environment, facing our fears, is a crucial way of learning how great we truly are.   initials (________)

Image Use Consent: CLIENT consents to the use of images of LMTKD students, parents, and guests for promotional purposes, with provisions for opting out.  initials (________)

Termination: To terminate this agreement, CLIENT must provide written notice 30 days prior to the next payment due date.  The final month's tuition will be charged, and the Student may attend classes for the duration of the last payment.    initials (________)

Acknowledgement: CLIENT confirms reading and agreeing to these terms, affirming they are the  Student or parent/guardian of the enrolled student and are at least 18 years of age.

Exhibit A: Tuition and Fees All fees, including tuition rates for various ranks and testing fees, are subject to change.  Current rates are as listed below:

All tuition and fees described below are subject to change at any time.  Current students will be given 60 day notice.

STUDENT TUITION:

Moo DO Taekwondo Association.  Annual Membership $40

Rank                                                        Standard Monthly Rate       Auto-Pay Monthly Rate          

Tiny Tiger                                                  $140.00                                $126.00

Novice/Mid Ranks (White thru Grn/Blue)  $177.00                                $159.00

High-Rank (Blue thru Candidate)             $177.00                                 $159.00

Black Belt (All Ranks)                               $177.00                                 $159.00

Black Belt (5 session pass)                      $125.00

Black Belt (10 session pass)                     $225.00

Belt Advancement Testing------------------Rank student is testing to:              

Tiny Tigers & White Belt to White/Yellow     $20.00

White/Yellow thru Green/Blue                    $45.00

Blue to Candidate                                       $55.00

Testing to 1st Dan                                      $670.00

2nd Dan                                                     $825.00

3rd Dan                                                      $1050.00

4th Dan and Above                                    See Instructor

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    Las Vegas, NV 89130

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