Adult Registration Form

Client Name

First NameMiddle NameLast Name

Birth Date

MonthDayYear

Client E-mail

example@example.com

Mobile Number

Format: (000) 000-0000.

Phone Number

Format: (000) 000-0000.

Which classes are you interested in? Select all that apply

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.

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

Intro Adult SUMMER Challenge! June 22 - Aug 31!

Intro capoeira each Monday 6:15-7:15pm. Come to 9 sessions throughout summer and receive a free uniform! (Special summer rate as we know you might have travel and camping plans!)

$180.00 CAD

2 days per week

Monthly for two days per week of any adult classes

$145.00 CAD Quantity

Unlimited monthly

Monthly payment for unlimited classes.

$160.00 CAD

Enter coupon

Subtotal

Tax

Total

Credit Card

AxeCV Adult Registration Form

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

Credit Card

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