Registration
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Event:
Start Date/Time:
End Date/Time:
Fee per Student:
Room:
*
- denotes required fields
Family Information
First Name:
*
Last Name:
*
Home Phone:
Cell #:
Work #:
Email:
*
(Emails are kept confidential)
Address:
*
City:
*
State:
*
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Zip:
*
Students entered below will be added to your family's account
Add New Student #1:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Add New Student #2:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Add New Student #4:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Allergies (Leave blank if NONE):
Additional Information:
Waiver
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ASSUMPTION OF RISK
I certify that the above named enrollee has no condition that prohibits full participation in programs at Ninja Gymnastics Factory. I understand that participation in these activities involve risk of serious injury, paralysis and death. I assume all ordinary risks when using the facilities and agree not to hold Ninja Gymnastics Factory or any of its instructors or employees liable for any injury or damage which may occur to me, my child or caregiver as a result of my/our participation in the class or related activities.
RELEASE OF LIABILITY
I hereby release Ninja Gymnastics Factory, its affiliates, agents and employees for any liability for accidents while participating in activities at Ninja Gymnastics Factory.
MEDICAL EMERGENCIES
In case of accident and I (the undersigned) cannot be reached, I give Ninja Gymnastics Factory, its agents and employees permission to contact, and if necessary, obtain necessary medical attention.
CHILDREN 0-3 YEARS
Any child under the age of 3 must be accompanied by an adult at all times. This includes while participating in any activity on the gym floor. Caregivers should be prepared to take off their shoes and participate with their toddler.
PHOTO RELEASE
I give permission to Ninja Gymnastics Factory to use photo(s) of my child for promotional use. I will not ask for compensation for use of any photos to promote Ninja Gymnastics Factory. In any and all uses, Ninja Gymnastics Factory will not release the identity of my child without my approval. If you'd prefer to not give permission for the Photo Release, please email your request to info@ninjagymnasticsfactory.com
COVID-19
Please arrive no earlier than 5 min before the start of your camp, and plan on leaving the facility promptly after camp. Everyone will sanitize their hands before entering the building. Masks are optional for all children and adults during the duration of their time at Ninja Gymnastics Factory (gym, lobby, classroom, and party). In the event there is a government mandate or surge in COVID cases, masks will become required for all children and adults ages 3 and older. Ninja Gymnastics Factory will provide a mask if one is needed. PLEASE do not bring your child to Ninja Gymnastics Factory if they are not feeling well. Any child who seems under the weather or not feeling will not be able to enter or will have to be picked up.
I've read the above and agree.
Free Play Friday Supervision
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I agree to accompany my children at all times. I acknowledge this is a free play setting and coaches will not help in the assistance of spotting anything throughout the gym during this time.
I've read the above and agree.
Enter your Full Name:
*
Other Questions/Comments:
Credit Card Verification:
Card Number:
*
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Name as it appears on card:
*
Nickname:
Card Expiration Month:
*
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Exp Year:
*
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2054
Address Line 1:
Address Line 2:
City:
State:
AK
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CA
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DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
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NV
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OH
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OR
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RI
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Zip:
*
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