Free Trial Confirmation (MUST FILL OUT) It is our goal to make sure you have all of the details needed to make the decision on signing up, should you like the class. The following form will make sure you have all the details on membership at CPAMMA and answer any questions you may have before your free trial. It is important that we get all of the pertinent information to you to help you better decide if CPAMMA is the right fit! **Please do not confirm if CPAMMA does not fit your budget and future schedule.** **Check each of the boxes. After reading the details. Understand that you must check all the boxes and click submit below in order to confirm your free trial class.** Your Name [First, Last]: (required) Your Email: (required) I would like to try out: Kickboxing (Monday @ 5:10PM - Women Only)Kickboxing (Wednesday @ 5:10PM - Women Only)Striking (Monday @ 7:40PM - Co-Ed)Striking (Wednesday @ 7:40PM - Co-Ed)Striking (Tuesday @ 11:20AM - CO-Ed)Striking (Tuesday @ 11:20AM - Co-Ed)Brazilian Jiu-Jitsu (Tuesday at 5:40PM - Co-Ed)Brazilian Jiu-Jitsu (Thursday @ 5:40PM - Co-Ed)Reality Based (Tuesday @ 11:20AM)Reality Based (Thursday @ 11:20AM) 1. I am at least 18 years of age. (check box to confirm) I confirm that I have no current injures that would stop me from doing physical activity. (check box to confirm) If I decide to sign up, I will be paying for myself and will not need permission from a parent or spouse. If I do need to talk to someone I have already done so and have permission to sign up for membership. (check box to confirm) 2. I have looked at the schedule and can attend at least 1-2 classes per week in the program I am interested in between Monday and Thursday. (check box to confirm) 3. I am able to show up at the time stated above to sign a release. **Understand that if you show up late we will need to reschedule.** (check box to confirm) 4. The day for my free trial above works well for me to sign up for membership. I have already thought about it and made sure that I can commit to the membership financially and it fits my schedule. (check box to confirm) 5. I have transportation to Central PA Mixed Martial Arts or am within walking distance. (check box to confirm) 6. I have looked over the different Programs. (check box to confirm) 7. - I have read over all the Pricing and understand the day I try out the class I am eligible for "up to 1 month free", 1/2 off the standard rate ($75 instead of $150 per month) and unlimited classes in a program of my choice. - I also understand that there is a daily special that I can get depending on when I sign up. These specials are only available the day I try out a class. (check box to confirm) 8. I understand that all memberships are a minimum of two full paying months, paid for by the month with 31 days (one month) written notice to The Payment Company to cancel/hold my account. (check box to confirm) **Specials are only offered to students the day they try out the class, after that it goes to the next student interested in the spot. Because of this it is important that you only try out the class at a time that you are ready to commit to membership.** Should you have any questions feel free to ask them below and we will get back to you!