2023-2024 NLTT Registration Form

2023-2024 NLTT Registration Form
Athlete's Name*

First NameLast Name
Age *
(as of Dec. 31, 2023)
Programs*

REC - Edmonton - Thursdays in Westmount - WaitlistREC - St. Albert - Full Year - 6-7 PM - Mondays - $100 registration fee - $65/month (Oct-May) - Starts Oct. 23REC - St. Albert - 8-Week - 7-8 PM - Mondays - $100 total - Starts Oct. 23
Birthdate*

MonthDayYear
Date

Parent or Guardian #1
Parent or Guardian's Name #1*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Cell Number*

Area CodePhone Number
Parent or Guardian #2

If applicable
#2 Full Name

First NameLast Name
#2 Email
example@example.com
#2 Phone or Cell Number

Area CodePhone Number

Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*

Area CodePhone Number
Emergency Contact Email*
example@example.com
Health Concerns/Allergies*
List the people who are authorized to pick up your child *
How did you hear about us?*
We are always looking to understand how people came across this program. How did you hear about us? Please specify

2023-2024 NLTT Waiver
Athlete's Name*

First NameLast Name

By signing the form below, I agree that I have read and agree to the policies outlined in the Northern Lights Twirl Team handbook. *

	YES
Volunteer Policy (PreComp and Comp Only)
Fundraising Policy
Withdrawal Policy
Parent's Code of Conduct
Unpaid/Late Fee Policy
Medical Policy
I give Northern Lights Twirl Team permission to use my given email address to send, and forward me, any information regarding baton or related activities
I give permission to Northern Lights Twirl Team to use my child’s images, taken by our club photographers, to use in monthly newsletters, on our Facebook page and in any advertising or newspaper articles.

To view a copy of the NLTT handbook, please click here.
Signature of Athlete (or Parent or Guardian if under 18 years of age) *
Full name of person signing

First NameLast Name
Date

MonthDayYear
Date

NLTT COVID 19 Acknowledgement of Risk & Release Waiver
Assumption of Risks

I am aware that participating in the activities and sports, without limitation, offered by or associated with Northern Lights Twirl Team, the Canadian Baton Twirling Federation (CBTF), Alberta Baton Twirling Association (ABTA) and/or ABTA member clubs, exposes me to many inherent risks, dangers and hazards. By engaging in any activities offered by or associated with CBTF, ABTA or Member Clubs, I freely accept and fully assume all inherent risks, dangers and hazards and the possibility of personal injury, death, property damage or loss resulting there from.

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization and COVID-19 is extremely contagious. The CBTF, ABTA and member clubs have put in place preventative measures to reduce the spread of COVID-19; however, I understand that the CBTF, ABTA and member clubs cannot and do not guarantee that I will not become infected with COVID-19. Further, participating in any group activity and sports may significantly increase my risk of contracting COVID-19 and such exposure may result in temporary or permanent personal injury, illness, disability or death and I freely and voluntarily agree to assume all the foregoing risks.

*** By signing & submitting this form, I agree to the Assumption of Risks.
Signature of Athlete (or Parent or Guardian if under 18 years of age)*
Full name of person signing

First NameLast Name
Date

MonthDayYear
Date
Should be Empty:

2023-2024 NLTT Registration Form

Parent or Guardian #1

Parent or Guardian #2

Emergency Contact Information

2023-2024 NLTT Waiver

NLTT COVID 19 Acknowledgement of Risk & Release Waiver