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
Your 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)
Student Email:
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student Email:
Questions/Options:
Sneakers are mandatory. Absolutely no exceptions. No slip ons, laces preferred. Have you read and do you agree to our other policies on the website?
*
Yes
No
Name and birth date of the participant; minimum age is to participate is 6, except mini ninjas.
*
Date of Event and brief description of Event (ex: 11/11/21 attending Billy Smith's birthday).
*
Additional Information:
Assumption of Risk & Media Permission
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I acknowledge and understand the potential risk of injury, of contracting viruses, and other inherent dangers of obstacle training and other athletic or social activities at Los Angeles Ninja Academy (LA Ninja parent company), and I acknowledge the assumption of those risks for myself and all others listed on my account.
I allow Los Angeles Ninja Academy (and it's parent company LA 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 photos will be taken without prior consent and names will never 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 Los Angeles Ninja Academy (LA Ninja parent company), 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 Los Angeles Ninja Academy (LA Ninja parent company), 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 Los Angeles 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 will be processed within 24 hours, during which time charges will be reviewed and all applicable discounts will be applied. For cash or check payments, advance registration is still required to reserve a spot. Classes must be cancelled or rescheduled within 24 hours to be eligible for a refund less a processing fee. Credits expire in one year. I have read and I agree to all other general policies and procedures outlined on www.laninjas.com, including those for refunds and payment policies, required age and attire, gym rules, and 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 Los Angeles Ninja Academy's (parent company LA Ninja) behavior policy outlined on the website and understand that violation of these policies may result in expulsion.
I've read the above and agree.
Enter your Full Name:
*
Other Questions/Comments:
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