Registration
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Event:
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End Date/Time:
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Room:
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Family Information
First Name:
*
Last Name:
*
Home Phone:
Cell #:
Work #:
Email:
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Address:
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City:
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State:
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Zip:
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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:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave BLANK if none):
Medications (Leave BLANK if none):
Add New Student #2:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave BLANK if none):
Medications (Leave BLANK if none):
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave BLANK if none):
Medications (Leave BLANK if none):
Add New Student #4:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave BLANK if none):
Medications (Leave BLANK if none):
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Allergies (Leave BLANK if none):
Medications (Leave BLANK if none):
Additional Information:
Sign our waiver
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If you have NOT been to Austin Ninjas please sign our waiver ahead of time at https://www.smartwaiver.com/v/austinninjas
I've read the above and agree.
Parent/Guardian Spotter
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Each participant is allowed 1 parent/guardian pass to be purchased in the gym the day of the event. The parent/guardian must be over the age of 18 and have a signed waiver. Grand Opening parent/guardian spotter passes are $10.
I've read the above and agree.
Enter your Full Name:
*
Other Questions/Comments:
Credit Card Verification:
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Name as it appears on card:
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Nickname:
Card Expiration Month:
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Exp Year:
*
2024
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2032
2033
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2035
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2037
2038
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2048
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2053
2054
Address Line 1:
Address Line 2:
City:
State:
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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
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
PR
VI
Zip:
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