Homeschool Registration
    2020 Fall Semester

    We recommend your child watches a class before you register them, and ages 5-13 are also welcome to participate in a free trial class.
    ​If registering more than one family member, please list Student #1 as the member with the highest membership rate.

    The fall 2020 semester is 12 weeks from September 1 - November 19.
    ​Address

    SIGNED AGREEMENTS

    LIABILITY
    I agree not to hold Justin Press, Ephrata Martial Arts, and/or its teachers or associates responsible for any loss, injury, accident, or liability that might occur while I or my child are participating in classes, competitions, etc. I further state that all students listed on this registration are in good health and are not restricted from any physical activities such as martial arts, etc.

    FINANCIAL OBLIGATION
    I have received and read the 2019 membership rates and understand that I am committed and liable for month to month (until a written notice is received for cancellation), one session, 6 months, or 12 months according to the commitment period I chose on this form, and that there is an early cancellation fee if I do not wish to fulfill the contract. I understand that for my registration to be complete I must pay the full or pro rated tuition for the current month.

    I understand that monthly cash and check payments are only accepted under no contract, and that the homeschool session and 6 and 12 month contracts require an ACH (auto withdrawal) form to be completed unless if the amount for the full commitment period is paid in advance. (The ACH form can be acquired at our studio or by requesting through email)
    ​
    EPHRATA MARTIAL ARTS POLICIES
    I agree to abide by the Ephrata Martial Arts code of ethics, dress code, and general policies.

    (Please note that this includes NO PHOTOS OR VIDEOS to be taken in the studio without prior permission, not to distract the students and/or instructor(s) by talking or signaling to them during class or by making excessive noise, to take all phone calls outside, and to keep shoes off the training floors, and to wear shoes in the bathroom.)
    ​
    MEDIA RELEASE WAIVER
    Ephrata Martial Arts is hereby granted permission to take photographs / video of any and all students to use in print or electronic publication. As student or legal guardian of student, I do understand that photos will eventually be removed from the website as pictures from the new classes / teams are put in its place. For internet safety, I understand that Ephrata Martial Arts will only use my name/my child’s name on the internet if I grant them permission (sign below). I also realize that my name/my child’s name may be mentioned in local newspapers should his or her photo be taken and used for that purpose. I am confident that photos of my student will be appropriate and of good taste.  I hereby give Ephrata Martial Arts exclusive rights for all media use of my child’s image.  This includes all print, non-theatrical, home video, CD-ROM, internet and any other electronic media, advertising, posters, social media and other promotional materials that may be created in the future. Ephrata Martial Arts also has the right to use and intertwine (with or without other materials) in full or portion any photographs / video footage taken as a result of participating in Ephrata Martial Arts classes and events. *This photo waiver applies to all classes, social events and public events that are associated with Ephrata Martial Arts when posting or using pictures/other media forms of the student:
    ​

    REGISTRATION FINANCIAL AGREEMENT