MEMBERSHIP

 New Replacement Upgrade


BUYER

Birth Date


MAILING ADDRESS




BILLING ADDRESS




CONTACT



EMPLOYMENT



PERSONAL

Current Weight


Primary Interest: (Check all that apply)

 General Fitness Competition Self-Defense Social Other


How Did You Hear About Us?

 Referral (Name)  Internet Search Engine Driving By Direct Mail Special Event Road Sign Flyer/Card/Brochure MMA Event Television Commercial Other


Student Information (Kids Only):

Student Name

Date of Birth


Membership


Billing

Total Monthly Fees: $_________

Processing Fee: $50.00

Start Date dd/mm/yyyy

First Payment dd/mm/yyyy


ADDITIONAL FEE

Continued membership at FTW BJJ, LLC / Royce Gracie Association Fee, due each year on January 1st : $35.00


RENEWAL TERMS

  • FTW BJJ, LLC reserves the right to increase any monthly and annual fees.
  • This is a continuous payment plan requiring a three month notice to cancel pursuant to the details on the reverse side of this form.
  • NO EXCEPTIONS ARE MADE REGUARDING OUR CANCELATION POLICY.


  1. WAIVER AND RELEASE OF LIABILITY

    FTW BJJ, LLC urges you and all students to obtain a physical examination from a doctor before using the facilities of FTW BJJ, LLC, or before participating in any class offered by FTW BJJ, LLC. Activities offered by FTW BJJ, LLC involves the potential for injury or death and participating in such activities shall be at the student’s sole risk. Student does hereby release FTW BJJ, LLC, Fight To Win BJJ and Judo, Royce Gracie Jiu Jitsu, their owners, instructors, employees, representatives, volunteers, members and authorized guests, individually and otherwise, from any and all liabilities, demands, damages, claims or actions arising due to injury, accident, death and/or losses that may be sustained or incurred, physically, mentally or emotionally, if any, while attending classes, training sessions, seminars, tournaments, competitions, events or with the abnormal use of techniques applied during, before and after classes, training sessions, seminars, tournaments, competitions, events. Student hereby holds FTW BJJ, LLC, Fight To Win BJJ and Judo, Royce Gracie Jiu Jitsu, and its officers, owners, agents and employees harmless from all claims which may be brought against them by student or on student’s behalf or any such inquiries or claims.


  2. RELEASE OF OBLIGATIONS
    1. This agreement is a continuous payment plan and will continue until the buyer gives notice of termination. You, the buyer, may cancel this agreement by contacting the facility manager, THREE MONTHS prior to the payment due date. As such, the buyer is responsible for three additional monthly payments from the date FTW BJJ, LLC receives notice of cancellation. NO EXCEPTIONS ARE MADE REGUARDING OUR CANCELLATION POLICY.
    2. FTW BJJ, LLC reserves the right to cancel or suspend this membership agreement for any reason.
    3. All outstanding payments must be brought current and all property of the school must be returned at the time of cancellation.

  3. DEFAULT AND LATE PAYMENTS
    1. Should any monthly payment become more than 10 days past due, the Buyer will be charged a $30.00 late fee to cover additional administrative expenses and other expenses related to obtaining payment.
    2. If Buyer repudiates this contract or fails to make any payment within 30 days of the due date, the entire remaining balance shall be deemed due and payable on demand, and the Buyer agrees to pay allowable interest, and all cost of collection, including, but not limited to, collection agency fees, court costs and attorneys’ fees.
    3. FTW BJJ, LLC employs a third party Collection Agency to handle any member acquiring 3 months or more of late payment.

  4. HOLD OF PAYMENT

    The buyer may place the contract on hold at any time, for any reason, with a continued payment $15 per month (Up to 9 months). Hold payment ($15) is still due the same date as regular payment would be received. Hold of payment guarantees buyer will not be affected by any new student price increases and/or additional processing fees. A $30.00 late payment fee will still apply to any payment more than 10 days past due.


  5. BUYERS RIGHTS

    ANY HOLDER OF THIS CONSUMER CREDIT CONTRACT IS SUBJECT TO ALL CLAIMS AND DEFENSES WHICH THE BUYER/STUDENT COULD ASSERT AGAINST THE SCHOOL AS A RESULT OF THIS CONTRACT. RECOVERY BY THE BUYER/STUDENT SHALL NOT EXCEED THE TOTAL AMOUNT PAID BY THE BUYER/STUDENT TO THE SCHOOL PURSUANT TO THIS CONTRACT. YOU THE BUYER MAY CANCEL THIS AGREEMENT BY MIDNIGHT OF THE SCHOOLS THIRD BUSINESS DAY AFTER THE DATE OF THIS AGREEMENT, AND SUCH CANCELLATION MUST BE IN WRITTEN FORM. IN THE EVENT THE SCHOOL CLOSES AND CEASES DOING BUSINESS, YOU ARE NO LONGER OBLIGATED TO MAKE PAYMENTS UNDER THIS AGREEMENT.


  6. INCREASE OF DUES

    The buyer’s dues will not increase as new members dues increase, but there will be a 3% cost of living increase annually. Regardless of date joined the cost of living increase will be added on January 1st for each year of active membership.

I Agree To The Terms & Conditions