What month do you want to start?:
AugustSeptember
Which program do you wish to reactivate/reinstate?:
Unlimited for $125/moGrappling (Gi & No-Gi)Striking (Boxing & Muay Thai)Women's KickboxingReality Based MMA
Students Name (First, Last): (required) Account Holder's Name. *Who is Paying* (First, Last): (required)
Your Email: (required)
**You will receive a confirmation email.**
Type of Account: Bank AccountVisaMaster CardDiscoverOther Name on Account: Last 4 Digits of Account/Card Number:
I UNDERSTAND (required):
1. All memberships require 31 days written notice to cancel and your payments will stop after the next billing cycle. It is a minimum of two full paying months payment, paid for by the month. This does not include any payment for a special or promotion if it is not a full month's payment.
2. I understand that I am not being charged for the remainder of August, 2018 but I will be charged the reinstatement fee of $75 and the monthly rate for the program I selected.
3. By checking the following box I understand and agree to the Membership Policies and have read the FAQ regarding our rules, payments, cancellations, holds, etc.
4. I agree and confirm that I am 18 years or older and if I am not the student who this notice is concerning, I confirm that I am the parent or legal guardian of the above student.
I UNDERSTAND AND AGREE TO ALL OF THE ABOVE: <----CHECK HERE
Please type in the letters below:
Then click "Send" below: