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:
*
Type
Caregiver
Father
Guardian
Mother
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:
ANY SPECIAL NEEDS OR INFORMATION COACHES NEED TO BE AWARE OF?
DISCOUNT CODE:
Additional Information:
REFUND POLICY
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NINJA LAIR DOES NOT GIVE REFUNDS, WE CAN OFFER IN HOUSE CREDIT. BY AGREEING TO THIS POLICY YOU ARE AWARE THAT NO REFUNDS WILL BE ISSUED.
I've read the above and agree.
PAYMENT POLICY
(Show-Hide Details)
I GIVE NINJA LAIR PERMISSION TO CHARGE THE CARD OR BANK ACCOUNT ON FILE.
I've read the above and agree.
RULE POLICY
(Show-Hide Details)
I AGREE THAT I/CHILD ARE TO FOLLOW ALL SAFETY RULES AND RULES OF THE GYM OR WILL HAVE TO SIT OUT OR BE EXCUSED FROM ACTIVITIES OF THE DAY AND NO REFUNDS OR CREDITS WILL BE GIVEN.
I've read the above and agree.
WAIVER POLICY
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I KNOW THAT MY CHILD WILL NOT BE ABLE TO ATTEND CAMP WITHOUT SIGNING A WAIVER BY ONLY THE PARENT/LEGAL GUARDIAN AND WILL SIGN A WAIVER BEFORE CAMP STARTS.
I've read the above and agree.
Enter your Full Name:
*
Other Questions/Comments:
Credit Card Verification:
*
Add Credit Card
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