Signature

Please sign below using your mouse.

Initial

Go Back

Franklin - Dual Release of Liability Waiver - PTO Fundraiser

We are so excited to welcome you and your little ninja(s) into our program! Just a few more steps before we can get your child(ren) swinging, jumping, climbing, and most importantly, HAVING FUN!

Your Information

First Name *

Last Name *

Phone *

Email Address *

Address *

Address Line 2

City *

State/Province *

Zip/Postal Code *

Emergency Contact Name*

Emergency Contact Phone*

What school does your child attend?*

How did you hear about us?

Friend

Facebook

Instagram

At Event

Other

Preferred Method of Contact*
Phone Call
Text
Email

By indicating "Text" as preferred method of contact to USA Ninja Challenge Franklin, you agree that we may send you text messages. Message and data rates may apply. Message frequency will vary. Reply STOP to opt - out of future messaging or HELP for more information. Please refer to our Privacy Policies for more information about how we manage your data. No mobile information will be shared with third parties for marketing or promotional purposes. All the above categories exclude text messaging originator opt-in data consent; this information will not be shared with any third parties.

Class Schedule

Please indicate which class(es) you prefer your ninja(s) to attend. We will contact you to confirm class selection based on your preferences and class capacity.

4-5 Year Old Classes (Jr. Ninjas)
Tuesdays - 4:40 pm
Thursdays - 4:20 pm
Saturdays - 9:00 am

6-8 Year Old Classes
Mondays - 4:20 pm
Mondays - 5:30 pm
Mondays - 6:45 pm
Tuesdays - 5:45 pm
Wednesdays - 5:30 pm
Thursdays - 5:30 pm
Saturdays - 10:00 am

9-12 Year Old Classes
Mondays - 5:30 pm
Mondays - 6:45 pm
Tuesdays - 5:45 pm
Wednesdays - 4:20 pm
Thursdays - 5:30 pm
Saturdays - 11:15 am

13+ Year Old Classes (Warrior)
Wednesdays - 6:45 pm

Homeschool Classes (6-17 Year Old)
Thursdays - 1:30 pm

Permission to use photograph*

Yes, my child may be photographed

No, my child may not be photographed

Competitions, workouts, team activities and functions at any USA Ninja Challenge facility or the location of any USANC competition or activity. I grant to HAVN, LLC. and USA Ninja Challenge, its representatives and employees the right to take photographs of my child in connection with the above-identified subject. I authorize USA Ninja Challenge, its assigns and transferees to copyright, use and publish the same in print and/or electronically. I agree that USA Ninja Challenge may use such photographs of my child with or without his/her name for any lawful purpose, including publicity, illustration, advertising, and web content. I have read and understand the above.

Child Information:

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

I, despite all reasonable precautions implemented for safety, am fully aware of and appreciate the risks, including the risk of catastrophic injury, paralysis and even death, as well as other damages and losses associated with participation in the programs or activities. I knowingly and willingly assume all such risks. Consequently, I hereby for myself, heirs, executors and administrators, do waive and release any and all rights and claims for damages against the owners, operators, coaches and other members of HAVN, LLC from personal injury or accident of any sort or nature suffered by me, the undersigned, by reason of participation or membership in classes, lessons or any programs or activities of HAVN, LLC. In, addition, I, the below named minor's parent and/or legal guardian, understand the nature of these activities and the minor's experience and capabilities and believe the minor to be qualified, in good health, and in proper physical condition to participate in such activity. I hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless each of the releasee's from all liability claims, demands, losses, or damages on the minor's account, including negligent rescue operations. I further agree that if, despite this release, I, the minor, or anyone on the minor's behalf makes a claim against any of the releasees named below, I will indemnify, save, and hold harmless each of the releasees from any litigation expenses, attorney fees, loss liability, damage, or cost any may incur as the result of any such claim.

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

First Name *

Last Name *

Date of Birth *

Waiver and Release of Liability

Add Another Name

Join our mailing list

Sign Here

By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.