Great Lakes Aikido

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Membership

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Adult Aikido (annual)

Duration Ongoing

Access Unlimited

Cost $1,200.00 / year
Programs Adult Aikido
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Adult Aikido (monthly)

Duration Ongoing

Access Unlimited

Cost $120.00 / month
Programs Adult Aikido
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Adult Aikido (quarterly)

Duration Ongoing

Access Unlimited

Cost $330.00 / 3 months
Programs Adult Aikido

Membership Documents

Waiver / liability release

Great Lakes Aikido LLC

PARTICIPANT INFORMATION AND MEDIA RELEASE

INSTRUCTIONS

Please read this document in its entirety and complete all applicable fields. If registering online, many fields are automatically filled in from the visitor or membership registration form where this document is attached but a few must be completed in the form itself. Please ensure all information is complete and accurate.

Acceptance of this MEDIA RELEASE is requested for participation in classes and events hosted by GREAT LAKES AIKIDO LLC but it is not required.

PARTICIPANT INFORMATION

All information is required:

Legal Name: {name}
Date of Birth: {dob}, participants under 18 years of age MUST have the signature of a custodial parent or legal guardian.
Street Address: {address}
Email Address: {email}
Mobile Phone: {phone}
please do not send SMS notifications to this number.

PARENT/LEGAL GUARDIAN CONTACT INFORMATION

If Participant is under 18 years of age, this MUST be a custodial parent/legal guardian and MUST be completed:

Contact: {contact_name}
Relationship to Participant: {contact_relation}
Mobile phone: {contact_phone}

Required if Participant is under 18 years of age:

Email Address:
Parent/Legal Guardian Street Address:

Same as Participant.
- or -
Street Address:

RECORDING AND MEDIA RELEASE AGREEMENT

1. Definitions

For the purposes of this document:

The legal entity “GREAT LAKES AIKIDO LLC”, a limited liability company organized under the laws of the State of Illinois, may be referred to as “Great Lakes Aikido”, “GLA”, or “the Company”. These terms are used interchangeably throughout this document and shall have the same legal effect.
The terms “Participant” or “Member” refer to the individual identified in the PARTICIPANT INFORMATION section of this document, and who will be taking part in classes, events, or other activities offered by GLA. “Participants” are understood to be attending occasional training events or seminars while “Members” are Participants who enter an ongoing relationship with GLA to take part in regular classes.
The term “Guardian” refers to the custodial parent or legal guardian who is signing this document on behalf of a Participant, if the Participant is a minor child under the age of 18.
The term “Signee” refers to the individual executing this agreement. The Signee may be either:
1. an adult Participant or Member, defined as the individual identified in this contract who is registering for or participating in classes, events, or other activities offered by the Company; or
2. the adult Guardian signing this document on behalf of their minor Participant under the age of 18.

2. AGREEMENT

This Media Release Agreement ("Agreement") is entered into by the undersigned participant (or the custodial parent/legal guardian of a minor participant) and Great Lakes Aikido LLC. This Agreement is required for participation in GREAT LAKES AIKIDO LLC events and programs where photography, video, or audio recording may occur.

Consent to Record and Use Likeness
1. By signing this Agreement, the Signee hereby grants GREAT LAKES AIKIDO LLC and its authorized representatives the irrevocable right to record, photograph, or otherwise capture the Participant’s image, likeness, voice, and performance during participation in GREAT LAKES AIKIDO LLC events, classes, or activities.
2. The Signee understands that such recordings may be used for instructional, promotional, marketing, or fundraising purposes, including but not limited to distribution via print, web, social media, and other digital platforms.
Scope of Use
The Signee authorizes GREAT LAKES AIKIDO LLC to use, reproduce, edit, publish, and distribute the recordings in any format or medium, now known or hereafter developed, for lawful purposes. This includes the right to use the recordings in composite or modified forms and to use the Participant’s name in connection with such uses.
Duration of Authorization
This authorization is granted for an indefinite period unless revoked in writing as described below. The Signee waives any right to inspect or approve the final use of the recordings.
Right to Revoke
The Signee understands that they may revoke this authorization at any time by submitting a written request to GREAT LAKES AIKIDO LLC. Revocation will not affect any use of the recordings made prior to receipt of the revocation.
Waiver of Compensation
The Signee acknowledges that they will receive no compensation for the use of the recordings and waive any right to royalties or other compensation arising from or related to the use of the recordings.
Minors
1. If the Participant is under 18 years of age, The Signee certifies that they are a custodial parent or legal guardian of the Participant and have the legal authority to grant this release on their behalf.
2. The Signee understands that GREAT LAKES AIKIDO LLC will not use identifiable images or recordings of minors without this signed consent.
Privacy and Safety Considerations
GREAT LAKES AIKIDO LLC will take reasonable steps to ensure that recordings are used respectfully and in accordance with applicable privacy laws. Participants may request to opt out of recordings at specific events by notifying staff in advance or at the time of the event.

3. LEGAL COMPLIANCE

This Agreement is governed by the laws of the State of Illinois and complies with applicable federal and state statutes, including the Illinois Right of Publicity Act and the Illinois Eavesdropping Statute. All parties acknowledge that consent is required for the recording and use of private conversations and likenesses.

4. ACCEPTANCE AND SIGNATURE

BY SUBMITTING THE REGISTRATION FORM AND PROVIDING MY DIGITAL SIGNATURE BELOW I HEREBY CERTIFIY THAT I HAVE READ THIS RECORDING AND MEDIA RELEASE AGREEMENT. FURTHER, I FULLY UNDERSTAND ITS TERMS AND HAVE SIGNED IT FREELY AND VOLUNTARILY WTHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME.

Signed:

Date: {sign_date}

Revision: 003
Last Updated: 2025-09-14

Done Clear Sign Below:

Signature

Guardian Signature

Guardian Name

Great Lakes Aikido LLC

PARTICIPANT INFORMATION AND WAIVER OF LIABILITY

INSTRUCTIONS

Completion of the registration form and acceptance of this WAIVER OF LIABILITY are required to participate in classes and events hosted by GREAT LAKES AIKIDO LLC. We cannot provide services without a waiver on file.

PARTICIPANT INFORMATION

All information is required:

Legal Name: {name}
Date of Birth: {dob}, participants under 18 years of age MUST have the signature of a custodial parent or legal guardian.
Street Address: {address}
Email Address: {email}
Mobile Phone: {phone}
please do not send SMS notifications to this number.

GENERAL HEALTH

Participant's general level of health:
Excellent, Good, Fair, Poor
Participant has medical conditions of which the instructors should be aware:
No, Yes
If "Yes", please provide details in the membership form or contact your instructor to discuss.

EMERGENCY CONTACT INFORMATION

If Participant is under 18 years of age, this MUST be a custodial parent/legal guardian and MUST be completed:

Emergency Contact: {contact_name}
Relationship to Participant: {contact_relation}
Emergency contact mobile phone: {contact_phone}
Required if Participant is under 18 years of age:
Emergency Contact Email Address:
Emergency Contact Street Address:
Same as Participant.
- or -
Street Address:

RELEASE OF ALL LIABILITY AND INDEMNIFICATION AGREEMENT

1. DEFINITIONS

For the purposes of this document:

The legal entity “GREAT LAKES AIKIDO LLC”, a limited liability company organized under the laws of the State of Illinois, may be referred to as “Great Lakes Aikido”, “GLA”, or “the Company”. These terms are used interchangeably throughout this document and shall have the same legal effect.
The terms “Participant” or “Member” refer to the individual identified in the PARTICIPANT INFORMATION section of this document, and who will be taking part in classes, events, or other activities offered by GLA. “Participants” are understood to be attending occasional training events or seminars while “Members” are Participants who enter an ongoing relationship with GLA to take part in regular classes.
The term “Guardian” refers to the custodial parent or legal guardian who is signing this document on behalf of a Participant, if the Participant is a minor child under the age of 18.
The term “Signee” refers to the individual executing this agreement. The Signee may be either:
1. an adult Participant or Member, defined as the individual identified in this contract who is registering for or participating in classes, events, or other activities offered by the Company; or
2. the adult Guardian signing this document on behalf of their minor Participant under the age of 18.
The term “Releasees” refers to GREAT LAKES AIKIDO LLC and also includes its owners, managers, instructors, members, students, event participants, affiliates, promoters, lessees of premises used to conduct martial arts events or programs, premises and event inspectors, underwriters, consultants and others who give recommendations, directions or instructions to engage in risk evaluation or loss control activities regarding the martial arts facility or events held at such facility and each of them, their directors, officers, agents, employees.

2. AGREEMENT

In consideration of being permitted to participate in any way in the programs and events offered by Great Lakes Aikido, the Signee agrees for themself and/or their minor child Participant that:
1. Prior to participating in any martial arts activity or event, the Participant should inspect the facilities and equipment to be used, and if they believe anything is unsafe, they should immediately advise the officials of such conditions and refuse to participate. The Signee understands and agrees that, if at any time, Participant feels anything to be UNSAFE; they will immediately take all precautions to avoid the unsafe area and REFUSE TO PARTICIPATE further.
2. The Signee fully understands and acknowledges that:
  1. There are risks and dangers associated with participation in martial arts events and activities which could result in illness, bodily injury, partial and/or total disability, paralysis, and death.
  2. The social and economic losses and/or damages, which could result from these risks and dangers described above, could be severe.
  3. These risks and dangers may be caused by the action, inaction or negligence of the Participant or the action, inaction or negligence of others, including, but not limited to, the Releasees.
  4. There may be other risks not known or not reasonably foreseeable at this time.
3. The Signee accepts and assumes such risks and responsibility for the losses and/or damages following such illness (including viruses or other communicable diseases that may be contracted through participation), injury, disability, paralysis or death, however caused and whether caused in whole or in part by the negligence of GLA and the Releasees.
THE SIGNEE HEREBY RELEASES, WAIVES, DISCHARGES, AND COVENANTS NOT TO SUE GREAT LAKES AIKIDO LLC AND OTHER RELEASEES from all liability to the Signee and/or Participant, their personal representatives, assigns, executors, heirs, and next to kin for any and all claims, demands, losses or damages and any claims or demands therefore on account of any illness or injury, including but not limited to the death of the participant or damage to property, arising out of or relating to the events(s) alleged to be caused in whole or in part by the negligence of the Releasees, or otherwise.
THE SIGNEE HEREBY ACKNOWLEDGES THAT THE ACTIVITIES offered by GREAT LAKES AIKIDO LLC ARE VERY DANGEROUS and may involve the risk of serious injury, illness, and/or death and/or property damage.
1. The Signee also expressly acknowledges that INJURIES RECEIVED MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE OPERATIONS OR PROCEDURES OF THE RELEASEES.
2. The Signee further expressly agrees that the foregoing release, waiver, and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the Province or State in which the activities are conducted and that if any portion is held invalid, it is agreed that the balance shall, notwithstanding continue in full legal force and effect.

3. ACCEPTANCE AND SIGNEE SIGNATURE

BY SUBMITTING THE REGISTRATION FORM AND PROVIDING MY DIGITAL SIGNATURE BELOW I HEREBY CERTIFIY THAT I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT. FURTHER, I FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WTHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

Signed:

Date: {sign_date}

Revision 003
Last Updated: 2025-09-14

Done Clear Sign Below:

Signature

Guardian Signature

Guardian Name

Great Lakes Aikido LLC

Digital Privacy Policy

Thank you for trusting Great Lakes Aikido LLC with your personal information. We are committed to protecting your privacy and ensuring transparency in how we collect, use, and share your data.

INFORMATION WE COLLECT

We collect personal information to support your participation in our programs and to operate our dojo effectively. This includes:

Full legal name and preferred name
Date of birth
Contact information (email, phone number, address)
Emergency contact details
Health disclosures relevant to safe participation in the activities of GREAT LAKES AIKIDO LLC
Contracts including signed waivers and releases.

HOW WE USE YOUR INFORMATION

We use your information to:

Register and manage memberships and event participation
Ensure safety and compliance with liability waivers
Communicate updates, schedules, and notifications
Process payments and maintain financial records
Improve our services and operations

THIRD-PARTY SOFTWARE PLATFORMS

GREAT LAKES AIKIDO LLC utilizes several third-party maintained Software as a Service (SaaS) platforms for aspects of the company’s operations, including the processing of personal data.

GymDesk: Customer Relationship Management (CRM)/Dojo Management software. Operated by Martial Arts on Rails LLC, d.b.a Gymdesk ("Gymdesk").
- Privacy, Terms of Service, and Security documents are hosted on GymDesk Trust Center: https://gymdesk.com/page/trust
Square: Payment Processor. Operated by Block, Inc. Square Capital, LLC, and/or Square Financial Services, Inc.
- Privacy Policy for Payees: https://squareup.com/us/en/legal/general/privacy-no-account
- Terms of Service: https://squareup.com/us/en/legal/general/ua
PayPal: Payment Processor.
- Privacy policy: https://www.paypal.com/us/legalhub/paypal/privacy-full
Zoho Books: Accounting. Operated by Zoho Group.
- Privacy policy: https://www.zoho.com/privacy.html
Microsoft Azure and M365: Web hosting and productivity software.
- Privacy Policy: https://www.microsoft.com/en-us/privacy/privacystatement
- Terms of Use: https://www.microsoft.com/en-us/legal/terms-of-use

SHARING YOUR INFORMATION

We do not sell or rent your personal information. We may share your data with:

Authorized instructors and staff for operational purposes
Third-party service providers for secure processing
Emergency contacts in case of health or safety incidents
Legal authorities if required by law

MEDIA AND PHOTOGRAPHY

We occasionally record or photograph events for promotional purposes. Your preferences regarding media use are recorded during registration and respected. You may opt in or out at any time by contacting us.

DATA SECURITY

We take steps to keep your information safe using industry-standard security practices. While no system is completely secure, we strive to protect your data from unauthorized access, disclosure, or misuse.

YOUR RIGHTS AND CHOICES

You have the right to:

Access and update your personal information
Withdraw consent for promotional media use
Request deletion of your data (subject to legal and operational requirements)

To exercise these rights, please contact us at info@greatlakesaikido.org.

POLICY UPDATES

We may update this Privacy Policy from time to time. Changes will be posted on our website and membership/participation registration forms.

CONTACT US

If you have questions or concerns about this Privacy Policy or our data practices, please reach out:

Great Lakes Aikido LLC
PO Box 6661
Vernon Hills, IL 60061-6661
info@greatlakesaikido.org
https://www.greatlakesaikido.org

By using our website or registering for classes, you agree to the terms outlined in this Privacy Policy.

Revision: 001
Last Updated: 2025-08-17

Medical Conditions

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Great Lakes Aikido

Member Details

Address

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Membership

Adult Aikido (annual)

Adult Aikido (monthly)

Adult Aikido (quarterly)

Membership Documents

Waiver / liability release

INSTRUCTIONS

PARTICIPANT INFORMATION

PARENT/LEGAL GUARDIAN CONTACT INFORMATION

1. Definitions

2. AGREEMENT

3. LEGAL COMPLIANCE

4. ACCEPTANCE AND SIGNATURE

Great Lakes Aikido LLC

PARTICIPANT INFORMATION AND WAIVER OF LIABILITY

INSTRUCTIONS

PARTICIPANT INFORMATION

GENERAL HEALTH

EMERGENCY CONTACT INFORMATION

RELEASE OF ALL LIABILITY AND INDEMNIFICATION AGREEMENT

1. DEFINITIONS

2. AGREEMENT

3. ACCEPTANCE AND SIGNEE SIGNATURE

INFORMATION WE COLLECT

HOW WE USE YOUR INFORMATION

THIRD-PARTY SOFTWARE PLATFORMS

SHARING YOUR INFORMATION

MEDIA AND PHOTOGRAPHY

DATA SECURITY

YOUR RIGHTS AND CHOICES

POLICY UPDATES

CONTACT US

Medical Conditions

How did you hear about us?

Account Password

Payment