Macomb Martial Arts
phone (586) 345-0037

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  • Kid's Karate

    $25.00
November 2025
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Macomb Martial Arts LLC Membership Waiver & Agreement

This agreement is entered into by the following individual(s):

  • Student's Name: {name}

  • Date of Birth: {dob}

  • Address: {address}

  • Phone Number: {phone}

  • Emergency Contact Name: {contact_name}

  • Emergency Contact Phone Number: {contact_phone}

Medical Information Please list any allergies, medical conditions, or medications we should be aware of:

Please read the following terms and conditions carefully. By electronically signing this document, you are entering into a binding agreement with Macomb Martial Arts LLC and agreeing to all sections below.

1. Liability Release

  • Macomb Martial Arts LLC is not liable for any injuries sustained during participation in our programs.

  • You are advised to consult a qualified physician before engaging in any program.

  • By signing this waiver, you confirm that you are not subject to any illness, medical condition, or other problem that would make participation in our programs dangerous or hazardous to your health or the health of others.

  • You knowingly and voluntarily assume all risks and liabilities associated with participation.

  • You agree to notify Macomb Martial Arts LLC immediately if the registered client experiences pain, nausea, or other discomfort during the program.

  • In the event of an emergency, Macomb Martial Arts LLC or its employees may provide first aid or arrange for emergency medical care, but Macomb Martial Arts LLC is not obligated to provide such treatment.

  • You hereby irrevocably and unconditionally release and forever discharge Macomb Martial Arts LLC, its volunteers, staff, instructors, and directors from any and all claims, actions, or proceedings of any kind for any loss, injury, illness, death, damage, or other liability, whether now known or anticipated.

  • This agreement shall be governed by the laws of Michigan.

  • The undersigned is of legal age of majority and is the legal guardian of any registered student under the age of 18.

2. Photo/Video Release

  • I, , consent and agree that Macomb Martial Arts LLC, its employees, or agents may take photographs, videotapes, or digital recordings of me and/or the registered student.

  • I release to Macomb Martial Arts LLC, its agents, and employees all rights to exhibit such work in print or electronic form, publicly or privately.

  • I waive any rights, claims, or interest I may have to control the use of my identity or likeness in any media used.

  • I understand that I will not receive financial compensation for any recordings, either for initial or subsequent transmission or playback.

  • I represent that I am at least 18 years of age, have read and understand this statement, and am competent to execute this agreement.

3. Refund Policy (Macomb Martial Arts LLC Guarantee)

  • Each martial arts program at Macomb Martial Arts LLC is guaranteed as described in your program information. Please consult your program details online at: www.macombmartialarts.com for specific terms.
  • Minimum Time Requirement: Each program has a minimum trial period before a refund or credit can be issued. If you wish to cancel a program after this minimum period, please contact a staff member.
  • Cancellation Before Minimum Time: If you cancel before the minimum trial period, you will be charged for the minimum time and rate as listed for your program.
  • No Holds or Deferrals: Programs cannot be put on hold or payments deferred to another month.

Final Agreement & Electronic Signature

By electronically signing this document, I, , acknowledge that I have read, understood, and agree to be bound by all sections of this agreement, including the Liability Release, Photo/Video Release, and Refund Policy. I represent that I am of legal age of majority and am the legal guardian of any registered student under the age of 18

Signature:

Date: {sign_date}

Done Clear Sign Below:
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We look forward to seeing you soon!

Please let us know ahead of time if you are not able to make your scheduled time.

Added to waitlist

You are now on the waitlist. If a spot opens up we will notify you via Email.

Friday, February 21