GUARDIAN’S CONSENT (for all persons under 18 years) I hereby certify and declare that all the information contained in the declarations above is true and accurate and that I consent to the applicant receiving instruction in and training, practicing and participating in Brazilian Jiu Jitsu.

I hereby agree to participate in the required physical activities and exercises as required within the martial arts and fitness courses conducted by Alpha Jiu Jitsu Dural on the basis of the terms and conditions set below:

1. The students and co-signer (if applicable) agree unconditionally to pay the agreed tuition without regard to the attendance made or classes missed.

2. Alpha Jiu Jitsu Dural reserves the right to alter the days, hours of operation, classes and the price of the tuition if deemed necessary at any given time to better fit the student's needs.

3. Alpha Jiu Jitsu Dural reserves the right to use any images and/or video footage of and conduct interviews with Alpha Jiu Jitsu Dural students. By signing or agreeing to terms & conditions of this form you hereby grant Alpha Jiu Jitsu Dural permission to use these images, video footage and interview data to be published through any marketing or social media channels.

4. All arrears resulting from rejected payment via Ezidebit (Third party direct debit billing company) due to any reason whatsoever must be paid to Alpha Jiu Jitsu Dural immediately after notice has been issued.

5. The undersigned agrees to all the Rules and Regulations enforced by Alpha Jiu Jitsu Dural. Failure to do so may result in suspension or expulsion immediately without any given notice. Students fees will terminate 60 days after action has been enforced. There will be no refunds for membership fees paid in advance.

6. You hereby agree to have your nominated credit card or bank account direct debited for payment of our fee according to the fee schedule mentioned above or provided separately by filling out and signing the Ezidebit direct debit form (Separate form to be provided). Ezidebit will also you charge the following fees a once off initial setup fee $2.20 and a Bank Account Transaction fee of $0.99 (Per transaction) or Credit Card Transaction Fee for VISA/Mastercard of 1.99% (Per transaction) or AMEX/Diners of 2.70% (Per transaction. Ezidebit may also charge a Failed Payment Fee of $9.90 (If applicable).

7. You hereby agree not to cancel your membership via your financial institution for any reason.

8. You hereby agree to settle any outstanding debts owing to Alpha Jiu Jitsu Dural.

9. A 60 day written notice must be submitted to Alpha Jiu Jitsu Dural if you wish to either freeze, terminate, or cancel your account membership without reason, payment will cease 60 days after the notice has been received in writing.

10. Cancellation requests must be provided in writing to our email address info@duraljiujitsu.com.au

I have read and fully understood the terms and conditions above. I understand and agree that it is my responsibility to inform Alpha Jiu Jitsu Dural of any condition or changes in my health, now and ongoing, which might affect my ability to participate safely in the required exercises.

Alpha Jiu Jitsu Dural

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