Registration
4 openings left in this event!
Already a customer? Click here to login.
Thank you for registering! 2 Person Minimum. We will contact you if you're the only person booked in class. - Sneakers are mandatory; no exceptions. - Long hair must be tied back, appropriate fitness attire, please. PLEASE REVIEW ALL RULES AND POLICIES on our website, thanks!
Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
*
Type
*
Guardian
Parent
Self
Home Phone:
Cell #:
Work #:
Email:
*
(Emails are kept confidential)
Address:
*
City:
*
State:
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
NC
ND
NH
NJ
NM
NY
NV
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip:
*
Emergency Contact Info (Not Contact #1 or #2)
*
Students entered below will be added to your family's account
Add New Student #1:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Questions/Options:
Do you agree to our policies on our website? Sneakers are mandatory, no exceptions. No slip ons; laces preferred.
*
Yes
No
How did you hear about us?
*
Additional Information:
Assumption of Risk
(Show-Hide Details)
I acknowledge and understand the potential risk of injury, of contracting viruses, and other dangers inherent in obstacle training and other athletic or social activities sponsored by Brooklyn City Ninja Academy and PKNYC Inc., and I acknowledge the assumption of those risks for myself and all others listed on my account. I allow Brooklyn Ninja Academy (PKNYC Inc) and New York City Ninja to use photographs and video of me and all others listed on my account, including children, for promotional purposes, including but not limited to on the internet, websites, social media, advertising or other media. No names will ever be posted or tagged.
I've read the above and agree.
Release of Liability
(Show-Hide Details)
For and in consideration of athlete's registration with Brooklyn Ninja and PKNYC Inc., I as an athlete or as an athlete's parent and/or legal guardian or representative of other family members on my account, hereby release and forever discharge covenant not to sue, and agree to indemnify and hold harmless Brooklyn Ninja, or PKNYC Inc., its owners and employees and contractors, from any and all liabilities, claims, demands or causes of action that I may hereinafter have for injuries, virus contraction or transmission, or damages arising from participation in activities at Brooklyn Ninja or events which it may sponsor or be affiliated with or activities incidental thereto. This release includes but is not limited to injuries, damages or losses or illness caused by the passive or active negligence of the released parties or hidden, latent or obvious defects with the equipment sold or used.
I've read the above and agree.
Payment & General Policies
(Show-Hide Details)
Payment is due in full upon registration. Credit card payments are not charged upon registration, but will be processed within 24 hours, during which time all applicable discounts will be applied. For cash or check payments, registration must be done in person. Private lessons must be cancelled or rescheduled within 24 hours to be eligible for a refund or rescheduling. No refunds will be given for any private lesson cancelled with less than 24 hours. Refunds are subject to a processing fee. You have read and agree to all other general policies and procedures outlined on www.nycninja.com, including those for refunds and payment policies, age requirements, required attire, and any COVID safety procedures. No pets allowed.
I've read the above and agree.
Behavior Policy
(Show-Hide Details)
I as a participant, or as a participant's parent and/or legal guardian or representative of other family members on my account, agree to follow Brooklyn Ninja Academy's and PKNYC Inc.'s behavior policy outlined on the website and understand that violation of these policies may result in expulsion. No student is permitted to join class more than 10 minutes late. Punctuality is important for the warm up, and latecomers disrupt class flow. Cost of class is non-refundable if missed because of lateness.
I've read the above and agree.
Enter your Full Name:
*
Other Questions/Comments:
Credit Card Verification:
Card Number:
*
Visa
Mastercard
Name as it appears on card:
*
Nickname:
Card Expiration Month:
*
01
02
03
04
05
06
07
08
09
10
11
12
Exp Year:
*
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
2051
2052
2053
2054
2055
Address Line 1:
Address Line 2:
City:
State:
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
PR
VI
Zip:
*
Please Wait...
