Martial Arts Enrollment
To enroll in Martial Arts Classes, please complete the application to our office with a 1st-month tuition payment. Upon receipt of your application and payment, you will receive a confirmation email along with a copy of the agreement terms. For your benefit and Covid Safety precaution we require, ALL programs require a 3 month Commitment.
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Email *
How did you hear about us? *
Name of Student (s) / Age / Date of Birth (00/00/00) *
Name of Parent and Cell Number #1 (Adults students type Self) *
Name of Parent #2 (Last, Middle, First)
Cell Parent#2 (Last, Middle, First)  
Home Address/ City / Zip/ *
Cell Phone/ Home Phone *
Emergency Contact (Name and Number) *
SELECT YOUR PROGRAM (Beginner) *
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Select Class Day(s)
TDMA Studio General Rules
• No students are allowed on mat space without permission• Bottles, cans, paper, and trash must be disposed of in the appropriate receptacles provided.• All equipment must be properly put back in its place after use.• Properly cleaned Gi and equipment are required for class participation.• Members must have respect for the trainers, instructors, and other members. Membership may be revoked for disrespectful behavior.• For Health safety no outside shoes on the mat.• All hands must be sanitized to use any shared equipment, refrigerator, restrooms, and etc.• Parents are not allowed to communicate or distract their child without permission from instructor, coach, or Two Dragons Staff.• No posting of personal advertising or other literature is allowed without the permission of management.• Adjustments to the television, stereo, heater, fans or other equipment may be made by a staff member only.• If a younger sibling is waiting please ensure their safety behind the safety line of the mat during a class. *
Parental Consent
I, the undersigned, do hereby voluntarily submit my application for attendance and participation in the TWO DRAGONS MARTIAL ARTS COURSE and do hereby assume full responsibility for any and all damages, injuries, or losses that I may sustain or incur, if any, while attending or participating, and I hereby waive all claims against the promoters, owners, or operators of TWO DRAGONS MARTIAL ARTS, Shelene Hearring and staff individually or otherwise, for any claim for injuries that I may sustain. I also understand that if I have any physical problems that it is my responsibility to check with my doctor before taking this program.  I fully understand that any medical treatment given me will be of first aid treatment type only. *
Terms of Enrollment and Payments Agreement
*Due to Covid; All programs require a 3 month Commitment
• Tuitions are to be made payable via Credit Card, Check, or Cash, prior to attending classes.
• Tuition payments are due monthly, no exceptions (unless paid quarterly, semi-annual or annual)
• A late fee of $35 will be charged after 5 days of the due date.
• Students with payments past due will be asked not to participate until payment is made.
• Must give a 30-day notice for cancellations all of our Martial Arts programs.
• All payments and fees prepaid or otherwise are non-refundable.
• Monthly fees are subject to change at any time with a 30-day notice to our patrons.
• Cancellation before 30 days will be charged a $100 cancellation Fee.
• Make-ups are encouraged! Make-ups can be completed at the appropriate time before or after
the class is missed. No Tuition will be credited, prorated or refunded due to days/weeks missed for illness, vacation or other obligations.
(Rev. Revised 5/28/2020)
Tuition Information and Polices *
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