Registration
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Event:
Start Date/Time:
End Date/Time:
Fee per Family:
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:
*
Add New Student #1:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Add New Student #2:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Add New Student #3:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Add New Student #4:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Add New Student #5:
(Show-Hide Details)
Student's First Name:
*
Last Name:
*
Student Gender:
*
Female
Male
Birth Date:
*
(format=mm/dd/yyyy)
Disabilities (Leave blank if NONE):
Additional Information:
Release of Liability
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In consideration of the services of The Edge Training Center, their agents, owners, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as "TETC"), I hereby agree to release, indemnify, and discharge TETC, on behalf of myself, my spouse, my children, my parents, my heirs, assigns, personal representative and estate as follows:
I've read the above and agree.
Assumption of Risk
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Furthermore, TETC employees have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant's fitness or abilities. They might misjudge the weather or other environmental conditions. They may give incomplete warnings or instructions, and the equipment being used might malfunction.
I've read the above and agree.
Payment Policies
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I understand if my child is enrolled in a program that has reoccurring monthly tuition I am continuously enrolled in the program and I will incur reoccurring monthly tuition charges on my account until I submit a Stop Class Request email to office@theedgeninja.com. If I am stopping a class (with reoccurring monthly tuition) it must be done on or before the last day of the month. If I stop a class after the month begins I will not receive credits and/or refunds for the remaining classes in the current month. I understand that The Edge Training Center LLC does not guarantee make-up classes, credit and/or refunds for, but not limited to programs, class(es), clinics, camps, private lessons, birthday parties, birthday party guests, bring a friend, camps, open gym, and field trips, missed and/or cancelled due to holiday, vacation, illness, weather or any other reason. The Edge Training Center LLC does not issue refunds. All sales are final for any product and/or service purchased and/or provided by The Edge Training Center LLC.
I've read the above and agree.
Medical Emergencies
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I confirm that my child is in good health and I have medical insurance on my child and will provide coverage while he/she is enrolled. I fully understand that The Edge Training Center LLC staff members are not physicians or medical practitioners of any kind. With the above in mind, I herby release The Edge Training Center LLC staff members to render temporary first aid to my child in the event of any injury or illness, and if deemed necessary by the The Edge Training Center LLC staff to seek medical help including calling of an ambulance for said child should the The Edge Training Center LLC staff deem this to be necessary. Additionally, I hereby agree to individually provide for all medical expenses, which may be incurred by my child as a result of any injury sustained while participating in programs offered through The Edge Training Center LLC.
I've read the above and agree.
Enter your Full Name:
*
Other Questions/Comments:
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