Registration
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This is a WAIVER. Please fill out information and answer all questions below.
Event:
Start Date/Time:
End Date/Time:
Fee per Family:
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)
*
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:
First and last name and birthdate of the PARTICIPANT (S); minimum age is 6 to participate (ex: Billy Smith 1/1/2014)
*
Date and brief description of your EVENT (ex: 1/1/2027 Billy Smith's birthday party)
*
Sneakers are mandatory, no exceptions. No slip ons; laces preferred. Athletic attire only, no dresses/skirts. Do you acknowledge only sneakers and proper attire?
*
Yes
No
Additional Information:
Assumption of Risk
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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 and PKNYC Inc. 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
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For and in consideration of athlete's registration with Brooklyn Ninja Academy 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 Academy, 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 Academy 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
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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. No refunds for kids classes are given after first class of the semester, less the cost of the first class. 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. You have read and agree to all other general policies and procedures outlined on www.nycninja.com, including those for make-up classes, refunds and payment policies, vaccination, mask requirements and other COVID safety procedures. No pets allowed.
I've read the above and agree.
Behavior Policy
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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:
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