Registration
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Event:
Start Date/Time:
End Date/Time:
Fee per Family:
Room:
*
- denotes required fields
Your Information
First Name:
*
Last Name:
*
Home Phone:
Cell #:
Work #:
Email:
*
(Emails are kept confidential)
Address:
*
City:
*
State:
*
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DC
DE
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HI
IA
ID
IL
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LA
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ME
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NJ
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NY
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OH
OK
OR
PA
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TN
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VA
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WA
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Zip:
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Emergency Contact Info
*
Add New Student #1:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student's Email:
Add New Student #2:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student's Email:
Add New Student #3:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student's Email:
Add New Student #4:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student's Email:
Add New Student #5:
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Student's First Name:
*
Last Name:
*
Birth Date:
*
(format=mm/dd/yyyy)
Student's Email:
Additional Information:
Assumption of Risk
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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 New York Ninja Academy (Red String Music Inc. parent company dba RLNA NYC) and PKNYC Inc., and I acknowledge the assumption of those risks for myself and all others listed on my account.
I allow New York Ninja Academy (and it's parent company Red String Music, Inc.) 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 New York Ninja Academy (Red String Music, Inc. parent company dba RLNA NYC) 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 Red String Music, Inc., dba RLNA NYC, New York Ninja Academy, 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 New York 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.
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 New York Ninja Academy's (parent company Red String Music, Inc. dba RLNA NYC) and PKNYC, Inc.'s behavior policy outlined on the website and understand that violation of these policies may result in expulsion.
I've read the above and agree.
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