Liability Waiver & Enrollment Agreement

Who is this waiver for?

Choose the option that applies and the form will appear below. You can switch anytime.

01Participant Information

First Name

Last Name

Date of Birth

Phone

Street Address

City

State

ZIP

Emergency Contact

Relationship

Emergency Phone

Allergies (food, clothing, materials)

Special Medical Needs (e.g. EpiPen, inhaler, conditions)

Single Class (drop-in)$35

4-Class Pack$120

8-Class Pack$220

12-Class Pack$320

Registration Fee (per student, non-refundable)$60

Card Processing Fee (credit/debit transactions)3%

Class packs are non-transferable. Fees are billed at enrollment.

Signer's First Name

Signer's Last Name

Draw Your Signature

Sign above using your mouse or finger

Filling this out for the wrong person?