Adult Registration Form

AxeCV Adult Registration Form

Fill out the form carefully for registration.
Client Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Gender*
Client E-mail*
example@example.com
Mobile Number*
Phone Number
Which classes are you interested in? Select all that apply

Afro-Brazilian danceStrength circuitIntro CapoeiraMixed CapoeiraAll classes
Allergies, injuries, health issues etc. if none please type (none).*
Liability Waiver The below is a standard legal liability waiver. If at any point you do not feel comfortable to do any of the exercises please refrain from doing so and the teacher will help to modify for you. Also make sure to release any information regarding your health and wellness that would be of importance to your teacher. All drugs prescription and otherwise must be disclosed and all medical conditions especially heart or joint conditions. All participants in training packages online and use of the facility shall be undertaken at his or her sole risk and the trainer or facility shall not be liable for any injuries or damage to any member/client or guest or be subjected to any claim, damage whatsoever, including without limitation, those damages resulting from acts of active or passive negligence on the part of AxeCV, its officers, agents,or employees, or Covid related injuries or contagion within AxeCV classes or facilities. The client for himself/herself and on behalf of his/her executers administrations assigns and successors does hereby expressly forever release and discharge the trainer/AxeCV,its successors and assigns, as well as officers, employees and agents from all such claims demands injuries or damaged received or sustained by a member, guest, or visitor brought to the place of business to utilize the facilities. You will also be required to fill out a full waiver upon entry of the Axe CV Academy.

Clear

My Products - please choose ONLY if paying by credit card.

Adult spring promoJoin our Monday 7pm Intro adult/teen class for three months for only $150! Offer good through May 24!

$150.00CAD Quantity

Intro 3 month student deal Product Image

Intro 3 month student deal Join any one day per week intro class for three months for only $95 for all three months! (also includes Saturdays so technically 2 days per week!) deal ends May 24, 2025

$95.00CAD

Subtotal

$0.00CAD

Tax

$0.00CAD

Total

$0.00CAD

Credit Card

Should be Empty:

AxeCV Adult Registration Form

Credit Card