July 17 - August 4, 2017
Robbinsville Town Center
2330 Hwy. 33 Suite 102
Robbinsville NJ 08691
609-259-1519
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Billing and payment processing for Businesses' events is performed by Member Solutions, Inc. ("MSI"), and this contract is specifically assigned to MSI for all such purposes. Customer knowingly and irrevocably authorizes MSI to charge electronically Customer's bank account and/or credit card for any and all amounts due for Customer's, and anyone registering under Customer's, attendance and participation in the Event. Please note, you may see all or any portion of the following on your bank or credit card statement: "MSI*EVERSONSKARATEINSTIT 8882448044 ONLINE REG FEE". Any returned payment will be assessed a $25.00 fee. Any unsuccessful electronic transaction is subject to a $10.00 processing fee. MSI is not responsible for any bank fees incurred by Customer. MSI has the sole right to resubmit returned or declined items (plus applicable fees) without prior notice. BILLING INQUIRIES -- 888-244-8044 or by mail to PO Box 297, Hatboro, PA 19040.

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Everson's Karate Institute
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Week One July 17-21, 2017
Week Two July 24-28, 2017
Week Three July 31-August 4, 2017
WAVIERS

Please Read
I hereby state that the personal information given above is true and correct. Everson's Karate Institute Inc. urges all members to obtain a physical examination from their physician prior to the use of any fitness equipment or attendance in any exercise or Karate class. In consideration of services to be received as a student on these premises, the undersigned hereby releases and forever discharges Eversonís Karate Institute, Inc., its officers, agents, employees, heirs, successors, administrators, or anyone else associated or acting on behalf of the school of Eversonís Karate Institute Inc. and assigns from any and all actions, cause of actions, liability, claims and demands upon or by reason of damage, loss, injury, or suffering known and unknown which may be sustained by student in connection with and in course of receiving this school training and techniques on these premises, from the instructor or instructors staff official, or employees of this school or any fellow students on the premises in connection therewith and within the course of taking training or lessons for the purpose designed in this application. He/she hereby waives all his/her rights to the claims, actions, and cause of action, demand of suit for loss, injury, damage, or suffering sustained as a result of anything other than gross negligence on the part of this school. The undersigned assumes all the risks inherent and incident to this type of sports activities as a condition for applying for admission to this school. I fully understand that any pictures, videos, etc. taken of me may be used for publicity, promotion, website, facebook or showing and waive compensation in regard thereto.
Thank you,
Staff At Everson's Karate
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