Hapkido Canberra Student Form - media. · PDF fileHAPKIDO CANBERRA Dojang members are...
Transcript of Hapkido Canberra Student Form - media. · PDF fileHAPKIDO CANBERRA Dojang members are...
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“Hapkido Canberra ACT Self Defence” or “Hapkido Canberra”
Hapkido Canberra – Membership Form – Direct Debit Authority – Terms of Trade Page 1 of 6
Hapkido Canberra Student Form ☐ New Student
☐ Renewing Student
Starting Date: ___/___/___ Renewal Date: ___/___/___ (if Applicable)
Personal Details (Parent to Complete for Students Under 18yrs). MEMBERSHIP DETAILS Title: Mr/Mrs/Ms/Miss
First Name: __________________________________________ Last Name: __________________________________________ Postal Address: __________________________________________ Suburb: Postcode: _____________________ Contact Number: _____________________ Email: __________________________________________ Do you consent to receive information from Hapkido Canberra via SMS Yes/No and email? Yes / NO
Emergency Contact Name: __________________________________________ Emergency Contact Phone: __________________________________________ Have you trained in a martial art before? Yes / No
Membership Type: ☐Adult ☐Family¹ ☐Kids/Teen² ☐Tigers ☐Women ☐GumDo (Sword)³
Category: ☐Colour Belt ☐ Black Belt ☐Instructor
Student Details:
Full Name Male/Female DOB Current Rank
EMBER DETAILS (Renewing members complete if details have changed) By signing this document, I have read, understand and hereby agree to the terms of membership defined on page 2 of this document & agree to the below selected plan & frequency:
HIA Annual Membershipⁱ Fees
Hapkido Tuition Planⁿ: ___________ (plan code)
Fortnightly / Monthly/ Term Start Class / Yearly (please circle)
Signature: __________________________________________ Date: ___/___/___
OFFICE USE ONLY:
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Hapkido Canberra – Membership Form – Direct Debit Authority – Terms of Trade Page 2 of 6
Terms of Membership
“Hapkido Canberra” HAPKIDO CANBERRA refers to
“[email protected] Pty Ltd T/as
Hapkido Canberra ACT Self Defence”
Terms & Conditions
Acknowledgment of Risks, Injury & Obligations I acknowledge that the activity I am to undertake is a dangerous activity and that by participating in it I am exposed to certain risks. I acknowledge and understand that whilst participating in such activity;
I may be injured, physically or mentally, or may die;
My personal property may be lost or damaged;
Other persons participating in such activity may cause me injury or may damage my property
I may cause injury to other persons or damage their property
The conditions in which the activity is conducted may vary without warning
I may be injured or die or suffer damage to my property as a result of the negligence or breach of contract by HAPKIDO CANBERRA
There may be no or inadequate facilities for treatment or transport of me if I am injured
I assume the risk of and responsibility for any injury, death or property damage resulting from my participation in the activity.
Release and Indemnity I participate in the activity at my sole risk and responsibility. I release, indemnify and hold harmless HAPKIDO CANBERRA, its servants and agents, from and against all and any actions or
claims which may be made by me or on my behalf or by other parties for or in respect of or arising out of any injury, loss, damage or death caused to me or my property whether by negligence, breach of contract or in any way whatsoever.
Administration Membership payments are not refundable or transferable. If provided, Photo ID must be carried and shown upon request. HAPKIDO CANBERRA Dojang members are responsible for their access card. Shared Dojang access with a non-member, without prior consent, will result in forfeiture of membership effective immediately. Each member must respect other Dojang and behave in an appropriate manner at all times. HAPKIDO CANBERRA Instructors reserve the right to rescind the rights of members not complying with the terms and conditions of the membership. No one under the age of sixteen years (16) will be permitted to enter the Dojang without Adult or Instructor, under any circumstances.
Annual Membership Fee An annual membership fee is payable by all students who participate in training at Hapkido Canberra. All students must remain full members, and therefore fully paid all fees that are required or due by Hapkido Canberra.
Memberships Plans Membership plans have been arranged to be fair to all students training at HAPKIDO CANBERRA. Students who choose not to take up the Automatic Direct Debit available will be required to be paid “in-full” 2 months in advance & maintain fees 2 months in advance at all times.
Automatic Direct Debit Memberships Direct Debit is an automatic fortnightly, monthly or yearly deduction from a debit or credit card by PeopleHub Pty
Ltd. This is an ongoing membership and deductions will be maintained unless the member provides a request to cancel the direct debit. The minimum term of a Direct Debit Membership is 3 months. After the initial three (3) months, the member may cancel the direct debit by forwarding a request in writing to HAPKIDO CANBERRA providing 30days notice to cancel the direct debits.
Holidays & Suspensions A member may suspend their membership. A membership can be suspended for a minimum term of 4 weeks and maximum term of 3 months. A member must specify a start and finish date. Early reactivation is permissible. To suspend a membership, the member must provide written advice of their intended suspension prior to the commencement of their suspension.
Access Cards All members must bring their access card, if supplied, on each visit to the Centre. All members must register their attendance by swiping their access card at reception prior to entering the facility. Members can obtain a replacement card if an access card is lost or stolen. Replacement cards are available from reception at a cost determined by HAPKIDO CANBERRA. If an access card is faulty a replacement card will be issued
at no cost to the member only upon return of the original
faulty card
Late Payments & Other Fees All fees are listed on the Membership Plans & Fee Schedule
Sheet. With the exception of fees associated with direct
debit charges. Any fees charged by your bank or fees
charged to HAPKIDO CANBERRA for insufficient funds on
date of scheduled withdrawal will be charged to your
account & an invoice presented for your records.
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“Hapkido Canberra ACT Self Defence” or “Hapkido Canberra”
Hapkido Canberra – Membership Plans & Fee Schedules As at 1st August 2013 Page 3 of 6
Hapkido Canberra Start-up & Annual Fees
Start Up Fees
Start up fees include Uniforms (Doboks) & Annual Membership – Note: these can be paid off during the
first 2 months of training at the Dojang if using the Direct Debit Feature.
Uniforms & Equipment:
Uniform Cost
Tiger Uniforms $40
Standard (Black with Badges) $50
Demonstration Doboks (Various Colours & Types)
$95
Camouflage Doboks $200
Black Belt Uniforms $200
Tiger Uniforms are Blue for Boys & Red for Girls – Students under 14 can use these in the Family
classes also.
Annual Membership - All students of the Dojang are required to pay an Annual membership fee
- Annual Membership $55 p/person
o Additional family members @ $35 per member
- Members Joining:
o Between Jan-Mar => Renewal Due February of Each Year
o Between Apr-Jun => Renewal Due May of Each Year
o Between Jul-Sep => Renewal Due September of Each Year
o Between Oct-Dec => Renewal Due November of Each Year
Other Fees
Grading Fees: (Grading Fees Paid on the Day or in Advance of the Grading)
Type Kids Adults
Tiger Grading POC. N/A
Colour Belt $65* $65*
Colour Belt (Double) $130* $130* * Credit Cards Payments available with 2.4% Service Fee (Paypal Here)
* Students may use their Direct Debit Facility to pay for Grading, however fees may apply.
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“Hapkido Canberra ACT Self Defence” or “Hapkido Canberra”
Hapkido Canberra – Membership Plans & Fee Schedules As at 1st August 2013 Page 4 of 6
Hapkido Tuition Plans & Class Times:
Automatic Direct Debit Plans (Direct Debit, Visa/MasterCard) (Cash Paid 2 months in advance)
Plan Code
Plan Details Fortnightly Monthly Term Yearly
WO1 Women’s Only Class (1 p/week) N/A $65 N/A $600
KD1 KumDo (Sword) Class Only (1 p/week) N/A $50 $150 $550
DK1 1 * Child 9-14yrs $45 $90 $135 $800
DA1 1 * Adult >14yrs $60 $115 N/A $1050
DFA 2-3 * Family Members (any age) $67.50 $135 N/A $1250
ADD Additional Family Members Each +$15 +$30 N/A $1550
If you’re an adult training, Tiger tuition is covered as part of family member tuition.
Tigers Tiny Tigers classes are for kids aged between 2.5 – 4.5yrs.
Little Tigers classes are for kids aged between 4 – 7yrs.
Big Tigers classes are for kids aged between 7 – 10yrs.
Little Tigers Fees & Terms – from 1st August 2013
School Term Program
Plan Code
Plan Details Per Term (9 Classes Per Term)
1 Class Per Week Per Term (18 Classes Per Term)
2 Classes Per Week
LT1 1 * Little Tiger $135 $210
LT2 2 * Little Tigers p/family $165 $260
LT3 3 * Little Tigers p/family $195 $310
LT4 4 * Little Tigers p/family $215 $360
2013
Terms # weeks Start Monday Finish Thursday
Term 1 9 4th February 2013 4rd April 2013
Term 2** 9 29th April 2013 27th June 2013
Term 3 9 3rd August 2013** 28th Sep 2013
Term 4 9 14th October 2013 12th December 2013
**Term 3’s Start date is later than normal due to World Championship events in Korea.
2014
Terms # weeks Start Monday Finish Thursday
Term 1 9 3rd February 2014 3rd April 2014
Term 2 9 28th April 2014 26th June 2014
Term 3 9 23rd July 2014 18th Sep 2014
Term 4 9 13th October 2014 11th December 2014
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