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B4 Elevation Skills Training
Registration Form
Participant Information
*
Full name
*
School Grade
*
Date of birth
Month
Month
Day
Year
*
Program Selection
Group Sessions
Private Sessions
360 Elevation
Referred by:
Parent/Guardian Information
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Full Name
*
Primary Contact #
*
Email
Goals
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What do you most want your child to gain from our program?
Liability Waiver
(Please read and sign below)
*
I,consent to the participation for my child knowingly and voluntarily and expressly waive any claim I may have against B4 Elevation or any instructor, employee, personal trainer, owner or volunteer of B4 Elevation for injury.
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Media Release
*
I, hereby grant B4 Elevation permission to use photos, videos or other media recordings of my child captured during training sessions and related activities for marketing, advertising and promotional purposes. This consent includes website/social media.
I agree to the media release terms and give permission for my child's media to be used.
I do not agree to the media release terms and do not give permission for my child's media to be used.
Finalize Registration
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