2024 REGISTRATION FORM 
Welcome to Atos Jujitsu Orlando Academy! To get started on your Jujitsu journey, please complete the registration form below. We'll need some basic information to keep you updated on classes and events. Don't forget to review and accept the waiver for your safety and protection. Let's begin your martial arts adventure!
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How did you hear about us? *
Students First Name (Student) *
Note: Families must register EACH member separately
Students Last Name  (Student) *
Students Date of Birth  (Student) *
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Cell Phone Number *
Membership Level  *
Note: VIP passes are non-refundable
Email Address *
Address *
City *
Zip Code *
I understand I am making a financial commitment to the membership plan I have committed to.  *
Required
I understand installments are due on the 15th of each month, regardless of student's absence, major holidays, school holidays, or acts of God (i.e hurricanes)
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Required
I understand that I will be liable for the entire cost of my membership if I cancel or quit classes
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Required
LIABILITY WAIVER

GENERAL WAIVER 
ATOS Jujitsu Orlando, Inc. is insured and has taken all precautions to ensure the safety of all participants. 
Every student must complete this form in consideration of being allowed to participate in any way in any ATOS Jujitsu Orlando, Inc program, and related events and activities, the participant and parent or guardian: 

1. Agree that the parent(s) or legal guardian(s) will instruct the minor participant that prior to participating, he or she should inspect the facilities and equipment to be used, and if the participant believes anything is unsafe, he or she will immediately advise ATOS Jujitsu Orlando, Inc  personnel of such condition(s) and refuse to participate. 

2. Acknowledge and fully understand that each participant will be engaging in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions or negligence but the actions, inactions or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time. 

3. Assume all the foregoing risks and accept personal responsibility for the damages following such injury, permanent disability or death. 

4. Release, waive, discharge and covenant not to sue  ATOS Jujitsu Orlando, Inc their affiliated clubs, regional sports organizations, their respective administrators, directors, agents, coaches, and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and leasers of premises used to conduct the event, all of which are hereinafter referred to as "releasees" from any and all liability to each of the undersigned, his or her heirs and next of kin for any and all claims, demands, losses or damages on account of injury including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releasee or otherwise. 

5. In addition, I hereby grant full permission to any and all of the foregoing to use any photographs, videotapes, motion pictures, or any recordings for any purpose. I have fully read and understand this release and waiver.

COVID WAIVER - By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected by COVID-19 by attending classes at the school and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the school may result from the actions, omissions, or negligence of myself and others, including, but not limited to, school employees, volunteers, and program participants and their families.

I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s class attendance or participation in school programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless  ATOS Jujitsu Orlando, Inc   , its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. 

I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of  ATOS Jujitsu Orlando, Inc , its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any school program
*
Required
Full Name of Parent/Guardian Submitting this Registration (Same if Adult Student) *
Emergency number  *
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