Ninja Lair Online Registration

Registration

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Welcome to Ninja Lair! Time to get your ninja on! Fill out the following to get you started! Please take note that payments are run each month on the 1st or on Monday every 4 weeks, depending on when you sign up! No refunds will be given once membership is paid for! We need a 24 notice of cancellation to stop the reoccurring payments!

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Primary Phone*

Additional Info

Emergency Contact Info (Not Contact #1 or #2)*

Enter Coupon #

Contact #1

Contact #1 First Name*

Last Name *

Type

How Can We Contact You?

Home Phone

Work #

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

Type

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Pick your membership type at the bottom!

In the comments section please list the monthly option choices if more than 1 child:
$99 MONTHLY (4 CLASSES,1X WEEKLY)
$149 MONTHY (8 CLASSES, 2X WEEKLY)
$199 MONTHLY (UNLIMITED)

Enroll in Classes

Select Class

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Pick your membership type at the bottom!

In the comments section please list the monthly option choices if more than 1 child:
$99 MONTHLY (4 CLASSES,1X WEEKLY)
$149 MONTHY (8 CLASSES, 2X WEEKLY)
$199 MONTHLY (UNLIMITED)

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Pick your membership type at the bottom!

In the comments section please list the monthly option choices if more than 1 child:
$99 MONTHLY (4 CLASSES,1X WEEKLY)
$149 MONTHY (8 CLASSES, 2X WEEKLY)
$199 MONTHLY (UNLIMITED)

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Pick your membership type at the bottom!

In the comments section please list the monthly option choices if more than 1 child:
$99 MONTHLY (4 CLASSES,1X WEEKLY)
$149 MONTHY (8 CLASSES, 2X WEEKLY)
$199 MONTHLY (UNLIMITED)

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date*

Pick your membership type at the bottom!

In the comments section please list the monthly option choices if more than 1 child:
$99 MONTHLY (4 CLASSES,1X WEEKLY)
$149 MONTHY (8 CLASSES, 2X WEEKLY)
$199 MONTHLY (UNLIMITED)

Enroll in Classes

Select Class

Add Another Student

Required Policies

(Show-Hide Details)

Questions or Concerns

Comments

Payment Information

Account Information

Membership Type*

Registration

Referral Information

Family Information

Where do you live?

Additional Info

Contact #1

How Can We Contact You?

Portal Access (your email is your login)

Contact #2

How can we contact you?

Student #1

Enroll in Classes

Student #2 (Show-Hide Details)

Enroll in Classes

Student #3 (Show-Hide Details)

Enroll in Classes

Student #4 (Show-Hide Details)

Enroll in Classes

Student #5 (Show-Hide Details)

Enroll in Classes

Required Policies (Show-Hide Details)

I Agree to All of the Above

Questions or Concerns

Payment Information

Account Information

Required Policies

(Show-Hide Details)