Welcome to Amerikick Martial Arts! We Are Glad You Are Part of the Amerikick Team and We

Welcome:

Welcome to Amerikick Martial Arts! We are glad you are part of the Amerikick Team and we are excited that you have made the commitment to join of the of the most dedicated, successful and prominent martial arts organizations in the world, Amerikick!

Our organization not only instructs martial arts as a method of self defense, a sport and as a form of exercise, but also as a “way of life”. Self Mastery and Self Discipline are cornerstones of our Philosophy. At Amerikick we have soared to the top of the industry by being recognized as one of the top schools in the world.

It is our pledge and promise to you that we will motivate, educate and instruct you to be the best that you can be. Our professional staff is ready to help you on your journey. Goals, Respect, Attitude, Discipline and Esteem are tenets we utilize in our successful curriculum to help you achieve your goals.

All we ask of you is; have a positive attitude, maintain good attendance (which we monitor very closely to keep you on track with your goals) and stay committed to the program. Keep these obligations and we will un-tap the new positive self image and disciplined life you strive for.

Every month we offer special events, parties, guest instructors, buddy days, testing’s, private lessons, fun nights, special training classes and seminars. All events can be found in the newsletter which is posted on the school website Announcements are also posted on our face book fan page.

We believe that the family that “kicks together, sticks together”. Therefore, as a new student incentive, we would like to offer a free month of lessons for any immediate family member, 30 days of free classes for any of our martial arts or fitness programs.

Thank you and Welcome to Amerikick

Head Instructors:

Sensei Shelly Learned

Sensei Joe Learned

Sensei Nick Schneider

Please cancel/freeze(circle one) my membership privileges at Amerikick Karate Studio.

This will serve as my 30 day written cancellation/freeze (circle one) notice. I am the only person being cancelled and understand that each individual on the same account must be cancelled separately. I also understand that I am responsible for any past due money, including service fees, resulting from declined, returned or disputed debits to my credit card or checking account.

TODAY’S DATE: ______AMERIKICK LOCATION: ______

MEMBER’S NAME: ______

ADDRESS: ______

PHONE NUMBER: ______E-MAIL ADDRESS:______

MEMBERSHIP START DATE: ______

BILLING DATE: ______PAYMENT METHOD: ______

REASON FOR CANCELLATION:

Non-Use___

Too Expensive___

Joined Another Facility___

Poor Customer Service____

Lack of Programs and Services____

Other______

Medical with Doctor’s Note______

Relocating with Supporting Documentation______

PLEASE FREEZE MY MEMBERSHIP FROM______TO______

I understand a maintenance fee of $25 per month is required and full program price will not be charged during this period. I understand that if I decline the maintenance fee

and wish to restart my program at a later date, I will be charged a re-start fee of $129 and will be charged monthly at the rate that is current at re-start time.

WOULD YOU RECOMMEND US TO YOUR FRIENDS? ______

WOULD YOU RE-JOIN AMERIKICK? ______

MEMBER’S SIGNATURE: ______DATE: ______

MANAGER’S SIGNATURE: ______DATE: ______