American Kempo Karate Academy, Inc.

Service Agreement for Martial Arts Training

Client Name: Responsible Party Name

6 Month Program: Basic Training Gear package is required (Adults) Current Price: $197

Tuition Total / $1084
Down Payment / $299
Discounts / $50
Balance / $785

The undersigned promises to pay a total of 5 payments in monthly installments of $157 with the first installment payable on(date) 11/1/15 .

If client wishes NOT to advance into the next program, then written notice must be submitted by 3/20/16

24 Month Program: Black Belt Training (Intermediate Level) Gear package is required. Current Price: $350

Tuition Total / $4846
Down Payment / $0
Discounts / $100
Balance / $4746

The undersigned promises to pay a total of 24 payments in monthly installments of $ 199 with the first installment payable on(date) 4/1/16

If client wishes to discontinue this program, written notice must be submitted by 3/20/17

If client wishes NOT to advance into the next program, then written notice must be submitted by 3/20/18

24 Month Program: Masters Training (Advanced Level) Gear package is required. Current Price:

Tuition Total / $5596
Down Payment / $0
Discounts / $100
Balance / $5496

The undersigned promises to pay a total of 24 payments in monthly installments of $ 229 with the first installment payable on(date) 4/1/18

If client wishes to discontinue this program, written notice must be submitted by (date) 3/20/19

Terms

____1.)Tuition payments are made on the 1st business day of every month by automatic payments. No Exceptions! All monthly tuition payments and down payments are made automatically by credit card, checking, or savings accounts. Account changes require a minimum notice of 10 business days. Insufficient funds fee is $25. A late fee of $25 will be automatically applied to any insufficient account not resolved within 5 days of the due date. NO REFUNDS!

____2.) Courtesy calls are encouraged for all missed classes. Tuition payments still apply for any missed class time. All students are responsible for attending and/or making up classes. AKKA reserves the right to make any schedule or operating time changes. AKKA is closed most major holidays and two vacation weeks during July 4th and Christmas Holidays.

_____3.) This is the purchase of a program and programs are NOT pay as you go.

_____4.) Each student must supply their own protective equipment all which must be purchased on AKKA’s online proshop. We only use top quality safety equipment and do not compromise the safety of our clients. Tuition costs do not include equipment of any kind.

_____5.) Programs automatically renew if no written notice is issued. Verbal cancellations are not accepted. Clients will be notified as to when students will advance into the next program.

_____6.) Black Belt Training programs do not include the costs for Brown & Black Belt Testing nor the test preparation classes if client is not renewing into the Masters Training program.

_____7. Discounts only apply for continuous training. Breaks between training programs will result in current and higher tuition pricing upon return.

_____ 8. Medical Leave Policy. Payments can be postponed if the injury and/or medical situation will be in EXCESS of 3 consecutive calendar months and is accompanied by a verified physician’s note clearly stating the student’s inability to participate in martial arts training.

Responsible Party Signature Date

AKKA Representative Date

Tuition Payments Authorization

Credit/Debit Card

I, , authorize (check one)

Visa Master Card American Express Discover

to make monthly payments of $157 to American Kempo Karate Academy

Acct#

Expiration Date and will begin on (Date): 11/1/15

Authorized Signature

Checking/Savings

I, , authorize Bank Name: to make monthly payments of $157 to American Kempo Karate Academy from my (check one) Checking Savings

Routing# Acct# and will begin on (Date): 11/1/15

Does this account have overdraft protection?(preferred)

Authorized Signature

Notes: 1. Notice prior to the transaction will be issued to the client. New amounts will automatically process on the stated dates.2. Only the authorized party on the given account may authorize payments 3. Late fees and insufficient funds fees are automatically applied.