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THE UNDERSIGNED PROMISES TO PAY the amount budgeted in equal monthly installments as indicated in the membership terms above. All subsequent installments will be due consecutively each month on the effective date of this agreement and will be paid DIRECTLY to Poolesville Self Defense.  At the end of my agreement I will be charged monthly until a request to cancel is received.

I UNDERSTAND that under the terms of this agreement, the school obligates itself to furnish me with competent instruction and suitable facilities for teaching lessons. All class sessions are supervised by qualified personnel trained in the procedure and traditions of the Martial Arts. The regular hourly tuition is $150.00 per hour; however, a substantial discount has been provided me by virtue of enrolling in a regular group course.

THE STUDENT (undersigned) hereby represents that he/she is physically fit to receive and participate in the prescribed course of instruction.

I UNDERSTAND and agree that the school will not be held liable for injuries, damages, etc., not caused by or resulting from the negligence of the owners, operators, employees or persons in charge of such establishment. (This refers to myself and or my child if signing for minor) I will faithfully comply with all rules and regulations of the school and the traditions of the Martial Arts. I further understand that failure to complete the training does not relieve me of my obligation to pay the tuition in full. My membership is for a period of time, not lessons.

THE UNDERSIGNED AGREES to receive and participate and the school agrees to teach lessons. I understand that at the end of my agreement, I will then be charged monthly until a written request (30 days notice) to cancel is received.

I acknowledge receiving a copy of this agreement.

AS REQUIRED by General Obligations Laws, you have certain rights to cancel this agreement. You may cancel this agreement without any penalty or further obligation within three (3) days from the date of this agreement. Notice of cancellation shall be in writing and mailed to the school by registered or certified mail. All telephone inquiries regarding your account should be directed to Poolesville Self Defense (240) 489-1391.

A LATE CHARGE of twenty five dollars ($25.00) will be assessed for any payment seven (7) days past due and/or for each insufficient funds check received.

I UNDERSTAND my rights as stated above.

I FURTHER UNDERSTAND that my tuition is arranged to be made in monthly installments and is not affected by my training schedule and/or attendance. This agreement requires that lessons are paid for on a regular basis regardless of whether or not classes are taken. I understand that I may not cancel or otherwise alter this agreement in any way. I further understand that placing an account on hold only extends my expiration date and does not affect my responsibility to make regular payments. Also, under limited offer or special agreements, a hold can not be placed on the membership.

Buyer’s Rights of Cancellation

If you wish to cancel this agreement within 3 days of signing it, you may cancel by mailing a written notice by certified or registered mail to the school. The notice must say that you do not wish to be bound by this contract and must be delivered or mailed before midnight of the third business day after you sign this agreement. After you cancel, the school may request the return of all agreements, membership cards and other documents of evidence of membership. The notice must be delivered or mailed to: Poolesville Self Defense, LLC at 19831 Fisher Avenue, Poolesville, MD 20837.

This agreement may also be cancelled in the event of your death, or if Poolesville Self Defense ceases operation at the location where you entered into this agreement. If you become disabled, you shall have the option of (1) being relieved of liability for payment on that portion of the agreement term for which you are disabled (2) extending the duration of the original agreement at no cost to you for a period equal to the duration of the disability. You must prove such disability by a doctor’s certificate, which certificate shall be enclosed with the written notice of disability sent to the school. Poolesville Self Defense may require that you be examined by another physician agreeable to you and the school at its expense. If you cancel, Poolesville Self Defense may keep or collect an amount equal to the fair market values of the services or use of facilities you have already received.

You may also cancel this agreement upon providing thirty (30) days-notice. You will only be subject to a payment equal to (1) month of your current tuition to cancel your agreement (30 days notice).

Cancellation Policy Addendum

If this agreement is cancelled under the provisions stated above, I understand and agree that I am required to pay for any and all Lessons, Uniforms, and or Equipment which was provided to me as an incentive for enrolling on this agreement at full Retail Value. I further understand that the agreement can and will only be cancelled after payment has been made for these incentives

Notice of Consumers Rights

Poolesville Self Defense’s registration number with the States Consumer Protection Division is # E5128. We are not required to carry a performance bond under Maryland Health Club Services law because we do not accept more than (3) months’ payment in advance or charge initiation fees over $200.00. If Poolesville Self Defense is closed for a month or more, you are entitled to your choice of either an extension of the Agreement or a prorated refund. If the closing is not the fault of the business, we are entitled to choose. You have the right to cancel this agreement within (3) business days after receipt of a copy of this agreement. Cancellation must be in writing, and delivered in person or by certified or registered mail. If you cancel, you are entitled to a full refund of all monies paid. If you become disabled for at least (3) months during the membership term and the disability is confirmed in writing by a physician, you are entitled to an extension of the agreement. Since Poolesville Self Defense is exempt from the bonding requirement, we cannot collect payments during a member’s disability extension so that we are not holding more than three months’ payment in advance.