2018 Bristol Dojo Membership Application Form rev2.0

please read and complete every section of this form fully and return to reception.

Select

Children’s Memberships

Membership Type

Classes covered

Cost per month

Term of

agreement

Little Champions Little Champions (ages 3-6 years only) £25 3 months

Junior Basic Membership 1 day per week only

NOT AVAILABLE FOR JUNIOR BJJ £30 3 months

Select Class required Kickboxing Karate Boxing MMA

Junior Full Membership inc BJJ All junior Karate, Bjj, Boxing, MMA & Kickboxing classes + fitness circuits + Open Mat every week £45 3 months

Select

Adult’s Memberships

Membership Type

Classes covered

Cost per month

Term of

agreement

Adult Basic Membership 1 day per week only

NOT AVAILABLE FOR BJJ £40 3 months

Select Class required MMA Boxing Kickboxing Karate

Adult Striking Only Membership All Karate, K-1 Kickboxing, Boxing classes + fitness

circuits + Open Mat every week £55 3 months

Adult Bjj Membership All Bjj Gi and NoGi classes + fitness circuits + Open

Mat every week £55 3 months

Adult MMA Membership All Adult striking and grappling classes including MMA

and Wrestling + Open Mat every week £65 3 months

Select

Family Membership

Membership Type

Classes covered

Cost per month

Term of

agreement

Family Discounted Membership All junior and adult classes 7 days a week. Parents and

their children under 18 years only. £90 3 months

Sibling Discount – If more than 2 children from the same immediate family have FULL MEMBESRSHIP then the 2rd or more receive a 50%

discount on their membership. This offer does not apply to basic membership packages only FULL MEMBERSHIP.

I would like to take out the membership type as indicated above. I have read and understand the terms

and conditions of this agreement. Signed…………………………..Date………………………

PLEASE PRINT CLEARLY IN CAPITAL LETTERS BELOW AND ALL FIELDS ARE REQUIRED TO SET UP YOUR MEMBERSHIP

Name of Student Mr / Mrs / Miss Date of Birth / / Bank Account holder (if different) Mr / Mrs / Miss Date of Birth / / Bank Account Number Sort Code Contact details for all correspondence regarding this agreement Address Post Code Email Home Number Mobile Number (for text updates)

Terms & conditions of this agreement

1. All credit agreements are between yourselves and Debit Finance Collections Plc and are for the minimum period of 3 months..

2. Your membership will continue to roll on to the next month at the end of the term, unless you contact Debit Finance Collections Plc giving at

least 30 days notice.

3. Any challenges regarding payments or if you wish to cancel you must contact Debit Finance Collections Plc directly and not Bristol Dojo.

4. Any missed payments are to be cleared in full before returning to Bristol Dojo.

5. If there is a challenge in clearing missed payments, an arrangement can be made to clear the arrears and you will be allowed to continue to

train at Bristol Dojo. (As long as the arrangement is honored).

6. If there are any outstanding arrears without notification of cancellation (within your agreement), you will be obligated to clear the full amount

of the term agreed.

OFFICIAL USE ONLY – DO NOT COMPLETE THIS PART Date Returned / / Date of collection 1st 8th 15th 25th Account registered with Bristol Dojo Bristol Dojo Bjj