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ADULT CLASS REGISTRATION
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Karate • Yoga • Dance • Chess • Self-Defense • Adult Stretch
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Date (required)
Your Full Name (Primary Contact Person) (required)
Your Address (required)
Apartment Number
City, State (required)
ZIP Code (required)
Email (required)
Cell Phone (required)
Home Phone
Work Phone
Emergency Contact Person (required)
Relationship To Student (required)
Email
Cell Phone (required)
Home Phone
Work Phone
Age of Student (required)
Birth Date of Student (required)
Choose a Class (required)
Karate - Adults (16 +)
Yoga - Adult (16 +)
Ballet - Adult (16 +)
Stretch - Adult (16 +)
Private Lesson - Adult (16 +)
Pro Self-Defense - Adult (16 +)
Health & Fitness - Adult (16 +)
Preferred Class Day (required)
Monday
Tuesday
Wednesday
Thursday
Saturday
Sunday
Preferred Class Time
Membership Preference
Monthly - Once a Week
Monthly - Twice a Week
Monthly - Thrice a Week
Previous Studies
Second Student Full Name
Age of Second Student
Birth Date of Second Student
Choose Class for Second Student
Karate - Adults (16 +)
Yoga - Adult (16 +)
Ballet - Adult (16 +)
Stretch - Adult (16 +)
Private Lesson - Adult (16 +)
Pro Self-Defense - Adult (16 +)
Health & Fitness - Adult (16 +)
Preferred Class Day
Monday
Tuesday
Wednesday
Thursday
Saturday
Sunday
Preferred Class Time
Membership Preference
Monthly - Once a Week
Monthly - Twice a Week
Monthly - Thrice a Week
Previous Studies
Health Concerns
Comments and Other Concerns
Where did you learn about Tiger Strong? (required)
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I Agree to These Terms (required)
As an adult, parent or legal guardian, I give my consent for my child, my myself and or second adult student to participate in any of the Tiger Strong NYC Programs. I recognize the possibility of injury in any martial arts, stretch, fitness, yoga or dance programs. I hereby waive and release Tiger Strong NYC, and any Officers, Employees, Agents and Assigns from any and against all claims of liability, including accidents or injury while on or about their premises. To the best of my knowledge, the participant is in good physical condition and I have no knowledge of any physical condition, injury, or illness which would place my the participant at risk in a martial arts or any other Tiger Strong NYC class . This Acknowledgement of Risk and Waiver of Liability has been read, understood completely and signed voluntarily by an adult, parent or legal guardian.
I Agree to These Terms (required)
I hereby authorize Tiger Strong NYC, its representatives and members the right to take photographs of me, my child, or second student, and to publish these photographs, along with use of first name, to be use in any Tiger Strong NYC printed publications and/or website. I acknowledge that since my participation in publications and/or websites produced by Tiger Strong NYC is voluntary, I will receive no financial compensation. I further agree that my participation in any publication and/or website produced by Tiger Strong NYC confers upon me no rights of ownership whatsoever. I agree that Tiger Strong NYC may use such photographs of me with or without my name and for any lawful purpose, including, for example, such purposes as publicity, illustration, advertising, and Web content. I release Tiger Strong NYC, its contractors and its members from liability for any claims by me or any third party in connection with my participation.
Student's Name - (required)
Second Student's Name
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