B.E.S.T. After School Program


Black Belt America Presents Madison's B.E.S.T. After School Program! Building Essential Skills Today! What is your child doing after school? Are they building essential life skills every day? MORE BENEFITS THAN ANY OTHER AFTER SCHOOL PROGRAM! At Black Belt America's After School Program, our Black Belt instructors will teach your kids the basics of karate in a fun and safe setting. And as they learn, they’ll be building valuable self-defense skills and bully management techniques. Along the way, our Black Belt Leaders will teach your kids important lessons of self-discipline self-respect, and respect for others, all while gaining a lifelong appreciation for physical fitness! And because we mix karate with so many other great activities that kids love, your kids will be having the time of their lives while reaping dozens of rewards!


6121 Odana Rd
Madison, WI 53719
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Applicant Agreement
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Registration inquiries:
608-273-4111
info@blackbeltamerica.com
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STUDENT INFORMATION:
 
 
PARENT / GUARDIAN INFORMATION:

 

 

TUITION INFORMATION (valid after 3/1/17) :

Registration Fee$99 (includes karate uniform for new students)

Returning Student Registration Fee...$50

OPTION 1 - Week to Week Program...$125 per week

  • Payments can be cancelled with a two week notice
  • Includes many days off school and early release days for ages 7 and up. (Typically follows the Madison schedule)
  • Payments are deducted automatically weekly (first weekly payment due at the time of registration)
  • Registration Fee of $99 ($50 for current BBA students)
  • Additional Family Members - 10% off weekly tuition

 OPTION 2 - School Year Program...$110 per week

  • Registration for the school year...no cancellation option
  • Includes many days off school and early release days for ages 7 and up. (Typically follows the Madison schedule)
  • 9 monthly payments of $464.44 are deducted automatically on the first of each month starting 8/1/17
  • Registration Fee of $99 ($50 for current BBA students)
  • Additional Family Members  - 10% off monthly tuition
 
OPTION 3 - School Year Paid in Full...$105 per week
  • Registration for the school year...no cancellation option
  • Includes many days off school and early release days for ages 7 and up. (Typically follows the Madison schedule)
  • 1 payment of $2020 is deducted at the time of registration and the second payment of $2020 will be automatically deducted on 8/1/17.
  • Registration Fee of $99 ($50 for current BBA students)
  • Additional Family Members - 10% discount
OPTION 4 - Two Days Per Week...$80
  • Payments can be cancelled with a two week notice
  • Payments are deducted automatically weekly (first weekly payment due at the time of registration)
  • Registration Fee of $99 ($50 for current BBA students)
  • Additional Family Members - 10% weekly tuition
If your child is enrolled in Black Belt America's Black Belt Training Program, they will have a blue uniform. There is an additional $20 per week discount available for all Black Belt Training members on most after school options. 
 
 
BBT RATES AFTER 3/1/17:
 
OPTION 1 - BBT: $105 weekly
OPTION 2 - BBT: $380 monthly
OPTION 3 - BBT: 2 payments of $1640
OPTION 4 - BBT: $80 weekly
OPTION 1 - Weekly Program ($125/wk)
OPTION 2 - School Year Program (based on $110 per week)
OPTION 3 - School Year Paid in Full (based on $105 per week)
OPTION 4: Two Days per Week ($80 per week)
Monday
Tuesday
Wednesday
Thursday
Friday
 
 
SNACK OPTIONS
 
BBA provides an opportunity for students to eat snack each day when they arrive. You have two options:
 
1. Send snacks from home for your child.

2. Set up a BBA snack account for your child. In this case, we set up an account starting with a $20 charge to your account. When your account gets to $2, we will automatically process a $20 payment to replenish the account.
 
 
 
Please indicate if your child requires a booster seat in the van when transported from school to BBA. Boosters will be provided by BBA.
 
 
HEALTH HISTORY AND INFORMATION
 
If your child requires medication while at BBA, a "Medication Authorization Form" is required to be on file at BBA. This form can be filled out when you drop off the medication.
 
 


No specific medical condition
Asthma
Cerebral palsy / motor disorder
Diabetes
Epilepsy / seizure disorder
Gastrointestinal or feeding concerns including special diet and supplements
Any disorder including Cognitively Disabled
Food Allergies - specify foods
Non-food allergies - specify
 
 
 
FULL DAY POLICY:
 
If your child is 5 or 6 years old, they are in a specialized group for which we are unable to provide care when they have a full day off school.
 
On scheduled Early Release days, Black Belt America will provide a karate program for all ages.
 
(Please remember that BBA follows the Madison Public School calendar when determining when to provide a full day option or pick up for early release. After School pick up begins on September 5th.)
 
 
 
 
 
TUITION POLICIES:
 

Weekly payments will be automatically deducted the Thursday prior to attendance.

Monthly payments will be automatically deducted on the first of each month beginning 8/1/17 

Please provide below your EFT or credit card information. If payment is not made by the Thursday before attendance, a late fee of $5 per day will be assessed and transportation will be discontinued until payment and all applicable fees are paid in full. There is a return fee of $20 for returned payments.


The total amount you will see charged to your account will include the following:
 
-Registration Fee of $99 or $50
-Snack Deposit of $20 if applicable
-1/2 Down for Paid in Full Programs
 
These charges will appear within 24 hours of registration.




PLEASE READ the Terms & Conditions carefully. It is important that you understand the policies and procedures that Black Belt America has implemented.
_____ BELT PROMOTION: When a student is ready for promotion to the next belt level, a $35 test fee will be due upon completion of this test. This happens approximately every 3 months.

_____ I UNDERSTAND THAT BLACK BELT AMERICA IS A MARTIAL ARTS SCHOOL AND NOT A DAYCARE IN AS SUCH. THEIR STOCK-IN-TRADE IS NOT SUPERVISION AND CARE. THE INTENT OF BLACK BELT AMERICA IS TO TEACH MARTIAL ARTS PHYSICAL AND PHILOSOPHICAL CHARACTER BUILDING SKILLS. I UNDERSTAND THAT BLACK BELT AMERICA IS A MARTIAL ARTS SCHOOL AND IS A DROP-IN FACILITY IN AS SUCH. MY CHILD(REN) IS FREE TO COME AND GO. ADDITIONALLY, IF MY CHILD(REN) STAYS AT THE BLACK BELT AMERICA FACILITY IT IS BECAUSE OF MY DIRECTION AND NOT BLACK BELT AMERICA.

_____ I give my consent for emergency medical care or treatment to be used if I cannot be reached immediately.

_____ Waiver & Release: I understand that all possible precautions are taken to ensure that the karate programs and activities at Black Belt America are conducted by mature and qualified personnel in a safe and responsible manner. However, I fully understand that because of the nature of some activities within the karate program there is a potential for accidental injury. I do recognize these risks and agree to allow my child to participate in the karate program. I further authorize Black Belt America staff to make decisions regarding emergency medical care for my child.

_____ I grant permission to Black Belt America to use any individual or group photographs of my child(ren) taken in karate activities for publication and advertising purposes.

_____ Loss/Damage/Theft of Students Property: Black Belt America does not assume any responsibility for the loss, damage or theft of any property belonging to the student. The student agrees that Black Belt America and its personnel are not responsible for or liable for any such property even if its loss, damage or theft occurs on or about Black Belt America.


_____ I understand that Black Belt America reserves the right to dismiss any student without a refund, where conduct is detrimental to others. BLACK BELT AMERICA DOES NOT MAKE UP SICK DAYS OR GIVE REFUNDS FOR MISSED TIME.

_____ NO REFUNDS: Registration fees are non-refundable. If you choose Option 1 or 4, a two week notice can be given to cancel. Payments will not be refunded if your child doesn't attend. You are responsible for all payments if you choose Options 2 or 3.

Check this box to indicate that you have read and agree to all of the above terms & conditions