Black Belt America: Birthday Party Registration 2019

Birthday Party Registration!

Get Ready For Fun ...

We offer a limited-number of complimentary birthday parties to Black Belt America students. A Black Belt America Birthday Party is Action Packed and Exciting! (Regular cost is $199)

Picture a fantastic Martial Arts Birthday Party designed with your child's favorite activities and unique, age-appropriate birthday games and fun! Your child will love this amazing celebration with excitement for all the guests. As you can imagine, our party dates book up quickly, so plan to make reservations well in advance!

Venue

6121 Odana Rd.
Madison, WI 53719

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INFO:

Please note that this form contains limited capacity items which are sold out. They are displayed grayed out and/or are not selectable.

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Registrant Fee:		$0.00
Group Fee:		$0.00
Registration Fee:
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Billing information

First Name

Last Name

Country

Address

City

State/Province

Zip/Postal

Phone

Billing and Payment
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*BLACKBELTAMERICA 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.

Applicant Agreement
I represent that I am the person who appears on the application above. I acknowledge and agree to the statements, terms and conditions above, as well as any applicable terms and conditions for this registration, and that by typing my name below and completing this registration form, I am electronically signing the document, which will have the same legal effect as the execution of the document by a written signature and shall be valid evidence of my intent and agreement to be bound.

Applicant Signature
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Please click the button below to finalize your registration.

Registration inquiries:
Contact (608) 273-4111 and ask for our party coordinator.

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Registrant

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Pick a date/time:

Child's First Name

Child's Last Name

Is your child currently a BBA student?

Address

Address (line 2)

City

State

Zip

Parent Name

Phone Number

Gender

Your Martial Arts BIRTHDAY PARTY PACKAGE INCLUDES:

� 90 Minutes of nonstop fun!

� Birthday child is the center of all activities!

� Experienced instructors handle EVERYTHING!

� Perfectly planned celebration created specifically for your child, with martial arts life lessons, drills, obstacle courses, games and fun!

� All children participate in structured activities!

� Exclusive use of our state-of-the-art facility!

Birthday Cake (along with plates, napkins, forks)

PARENT RESPONSIBILITIES INCLUDE:

Send Invitations
Signed Waiver from each guest

(Waiver can be found on the Black Belt America website:

http://blackbeltamerica.com/MemberPost/Birthday-Party-Guest-Waiver/27355)

Your Complimentary Martial Arts BIRTHDAY PARTY PACKAGE INCLUDES:

� 90 Minutes of nonstop fun!

� Birthday child is the center of all activities!

� Experienced instructors handle EVERYTHING!

PARENT RESPONSIBILITIES INCLUDE:

Birthday Cake (along with plates, napkins, forks)
Send Invitations
Signed Waiver from each guest

(Waiver can be found on the Black Belt America website:

http://blackbeltamerica.com/MemberPost/Birthday-Party-Guest-Waiver/27355)

While BBA offers complimentary birthday parties for students, we understand that the instructors go above and beyond to provide an amazing experience for your child's birthday. You do have the option to provide gratuity for the instructor in charge of the party in any amount.

Number of Children expected to attend

Type of Cake

Terms

CANCELLATION FEE: Because of the limited availability of party dates, BBA students will be charged a $40 cancellation fee if less than 30 days notice is given to cancel a party.

NO REFUNDS: There will be no refunds given for party cancellations. Parties may be moved to a different date and time if more than 30 days notice is given. If less than 30 days notice is given, a $40 change fee will be assessed to move to a different date.

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