The Movement Lab Registration

Parent or Guardian's Name*

First NameLast Name

Email*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Future Ninja(s) Name, Date of Birth, Gender*

Please specify gender as we do separate our ninja's by specific curriculum.

Secret Code

Advanced (coed).*

Please select a time slot for your ninja.*

Upon completion of this enrollment form and submission of the registration fee you will recieve a confirm email containing important information.

PHOTO RELEASE WAIVER

I hereby authorize The Movement Lab, DNL Enterprises LLC, and Ninja Zone to publish the photographs and videos taken of me and/or the undersigned minor children, and our names, for use in the printed publications, website and training purposes. I release The Movement Lab, DNL Enterprises LLC, and Ninja Zone from any expectation of confidentiality for the undersigned minor children and myself and attest that I am the parent or legal guardian of the children listed below and that I have the authority to authorize the use of their photographs, videos and names. I acknowledge that since participation in publications and websites produced by The Movement Lab, DNL Enterprises LLC, and Ninja Zone is voluntary, neither the minor children nor I will receive financial compensation. I further agree that participation in any publication and website produced The Movement Lab, DNL Enterprises LLC, and Ninja Zone confers no rights of ownership whatsoever. I release The Movement Lab, DNL Enterprises LLC and Ninja Zone, its contractors and its employees from liability for any claims by me or any third party in connection with my participation or the participation of the undersigned minor children.

WAIVER OF LIABILITY*

In Consideration of participation in DNL Enterprises LLC, The Movement Lab /Ninja Zone, I represent that I understand the nature of this Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I believe conditions are unsafe, I will immediately discontinue participation in the Activity. I fully understand that this Activity involves risks of serious bodily injury, including permanent disability, paralysis and death, which maybe caused by my own actions, or in actions, those of others participation in the event, the conditions in which the event takes place, or the negligence of the “releases” named below. I fully accept and assume all such risks and all responsibility for losses, cost, and damages I incur as a result of my participation in the Activity. I hereby release, discharge, and covenant not to sue The Movement Lab, DNL Enterprises LLC or Ninja Zone, its respective administrators, directors, agents, officers, volunteers, employees, other participants, sponsors, advertisers and, if applicable, owners and lessors of premises on which the Activity takes place (each considered one of the RELEASEES herein), from all liability, claims, demands, losses, or damages on my account caused in whole or in part by the negligence of the “releases” or otherwise, including negligent rescue operations and future agree that if, despite this release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the Releases, I will indemnify, save, and hold harmless each of the Releases from any loss, liability, damage, or cost, which any may incur as the result of such claim. Any and all Ninja skills will be conducted in a safe gym environment and will hold The Movement Lab, DNL Enterprises LLC, and Ninja Zone harmless of any injuries incurred in and outside gym areas. I have read the Release and Waiver of Liability, Assumption of Risk, and Indemnity Agreement, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance, notwithstanding, shall continue in full force and effect.

Signature*

My Products*

NKZ Class Enrollment$57.00

NONREFUNDABLE registration fee.

Quantity

Enter coupon

Total $0.00

Credit Card