7 years and older

Jujutsu

Our Jujutsu Program is for ages 7 and up. This is the perfect start for solo students and families who want to train together. Our training program includes a variety of learning points such as:

Self Defense
Kata
Strikes, Blocks and Kicks
Throws & Takedowns
Focus/Mental Clarity
Situational Awareness
Groundwork
Agility

Through partner drills and controlled technique training, students develop essential self defense skills under the guidance of our experienced instructors.

Each class is designed to be engaging and educational while providing a fun and supportive environment for learning.

We believe that when taught properly martial arts instruction will instill confidence and self-esteem in students of all ages, helping them navigate challenges with resilience and grace.

JUJUTSU REGISTRATION

Student First Name *

Student Last Name *

Date of birth *

Parents First Name

Parents Last Name

Address

Street Address *

City *

State *

Country *

Postal Code *

Phone *

Email *

Emergency Contact 1 Name *

Emergency Contact 1 Phone *

Emergency Contact 1 Relation *

Emergency Contact 2 Name

Emergency Contact 2 Phone

Emergency Contact 2 Relation

BY CHECKING THIS BOX, I AGREE THAT I AM AWARE THAT I OR MY CHILD(REN) IS/ARE ENGAGING IN PHYSICAL EXERCISE AND THE USE OF THE EQUIPMENT, FACILITIES, TRAINING, AND INSTRUCTION, WHICH CAN BE DANGEROUS TO THE STUDENT AND COULD CAUSE INJURY TO THE STUDENT. STUDENT IS VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES AND BUYER AND STUDENT ASSUME ALL RISKS OF INJURY TO STUDENT, WHICH MAY RESULT. BUYER AND STUDENT HAVE CAREFULLY READ THIS WAIVER AND RELEASE AND FULLY UNDERSTAND IT IS A RELEASE OF ALL LIABILITY AND DAMAGE TO ALPHA MARTIAL ARTS FOR ANY INJURY. ALPHA MARTIAL ARTS WILL MAKE NO EVALUATION OR RECOMMENDATION WHETHER STUDENTS OR GUESTS ARE SUFFICIENTLY PHYSICALLY FIT FOR ANY EXERCISE ACTIVITIES.

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Student Signature *

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Parent Signature *

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Date *

GENERAL INFORMATION:

Complete uniform including gi and belt is required for class. No exceptions will be made.
ALPHA MARTIAL ARTS ACADEMY does not assume any responsibility for the loss, damage or theft of any property belonging to the student.
SUPERVISION – ALPHA MARTIAL ARTS will not be responsible for supervision of any child outside of scheduled class.
For the safety of all other students and staff, please refrain from coming to class if you are experiencing fever, vomiting, diarrhea, or lice.
When a student's behavior becomes inappropriate, a warning will be issued and corrective measures will be taken. ALPHA MARTIAL ARTS reserves the right to terminate any student participation in any and all of our programs at any time.
ALPHA MARTIAL ARTS reserves the right to use any and all images, photos, or videos taken in the dojo for any advertising or display purposes.

CANCELLATION INFORMATION

15 Day notice is required to cancel your membership in any program.
A cancellation form must be filled out and returned to the dojo and a $50 Cancellation Fee will be charged.

I have read and agree to the liability statement above *

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Select your program: *

Basic (2 classes per week) $145 monthly

Premium (3 classes per week) $160 montly

All Access (All classes) $175 montly

EVENING PROGRAM DETAILS: (Required) *

Registration Fee

$99

PAYMENT INFORMATION

Testing fees are separate fees that will be collected before Belt Tests.
There will be a late fee of $20 for payments made after their due date.
No credits, transfers, or refunds can be issued on services, equipment, uniforms, or unused (missed) classes or days.
Default in payment results in cancellation of program. The remaining balance shall be due and payable as well as cost of collection, court costs, and attorney fees.

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CVV *

Card Exp. Date *

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