Membership Adjustment Form Student Name(Required) Payers Name(Required) Current Package(Required)Current PackageCurrent PackageOnce per week training (any style martials or fitness) $38/week. $105 for the starter pack$51/week gives one style martial arts or one style fitness $105 for the starter pack$61/week gives two styles martial arts or two styles fitness or one style martial arts and one style fitness. $105 for the starter pack for each style$71/week gives all styles martial arts. $105 for the starter pack for each styleChanging Package To(Required)Changing Package ToChanging Package ToOnce per week training (any style martials or fitness) $38/week. $105 for the starter pack$51/week gives one style martial arts or one style fitness $105 for the starter pack$61/week gives two styles martial arts or two styles fitness or one style martial arts and one style fitness. $105 for the starter pack for each style$71/week gives all styles martial arts. $105 for the starter pack for each styleCurrent Program(Required)Current ProgramCurrent ProgramNinja RuFMAMuay ThaiEliteTournamentLeadershipKalahFitnessChanging Program To(Required)Changing Program ToChanging Program ToNinja RuFMAMuay ThaiEliteTournamentLeadershipKalahFitnessCurrent Payment(Required) How many family members train at Life.(Required) Membership Change Effective Date MM slash DD slash YYYY Program Uniform / Equipment Costs (to be paid over the counter)Please ensure you complete the embroidery form $105 Martial Arts / Elite / Leadership uniform (includes badges and embroidery) $105 Muay Thai (includes singlet, shorts, ankle supports and hand wraps) $105 Kalah (includes T-shirt and groin guard) $105 Fitness (includes T-shirt and Myzone) Date(Required) MM slash DD slash YYYY Δ
