|
|
|
|
| | |
|
|
|
|
Event: |
|
|
Start Date/Time: |
End Date/Time:
|
|
Fee per Student:
|
Room:
|
|
* - denotes required fields |
|
Family Information |
|
|
|
| | | |
| | | |
|
Students entered below will be added to your family's account
|
|
Add New Student #1:
(Show-Hide Details)
|
|
Add New Student #2:
(Show-Hide Details)
|
|
Add New Student #3:
(Show-Hide Details)
|
|
Add New Student #4:
(Show-Hide Details)
|
|
Add New Student #5:
(Show-Hide Details)
|
| | | |
|
Additional Information: |
|
| | | |
|
Assumption of Risk
(Show-Hide Details)
I 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 Smithtown Ninja Academy (Smithtown Ninja Corp. parent company), and I acknowledge the assumption of those risks for myself and all others listed on my account.
I allow Freeport Ninja Academy (and it's parent company Real Life Ninja Corp.) 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.
I've read the above and agree.
|
|
|
Release of Liability
(Show-Hide Details)
For and in consideration of athlete's registration with Smithtown Ninja Academy (parent company Smithtown Ninja Corp.), 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 Smithtown Ninja Corp., Smithtown Ninja Academy, 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 Smithtown 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 Policies
(Show-Hide Details)
Payment is due in full upon registration. For cash or check payments, registration must be done in person. I understand that registration will be processed within 48 hours during which time it will be reviewed and all applicable discounts will be applied. For New Students during the Fall, Winter, Spring and both Summer Semesters full refunds are available after the semester begins, up until 24 hours after the first class of the semester, if you decide that our ninja program is not right for you. For Returning Students fees are non-refundable at anytime. During any summer camps/clinics, February break clinics, Spring break clinics, and/or special events all fees are non-refundable at anytime.
I've read the above and agree.
|
|
| | | |
|
Other Questions/Comments: |
|
| | | |
|
Credit Card Verification: |
|
|
|
|
|
Card Number: * |
|
|
|
Name as it appears on card: * |
|
|
Nickname:
|
|
|
Card Expiration Month: * |
Exp Year: *
|
|
|
Address Line 1:
|
Address Line 2:
|
|
City:
|
State:
Zip:*
|
| | | |
|
Please Wait...
|
|
| |