2025 Baton Atlantik Fall Registration Form

2025 FALL REGISTRATION FORM

12 week session - Dieppe, Moncton and Sainte-Marie de Kent
Registration form must be received before attending first class.

A chance to WIN a $50 gift certificate if registration form and full payment is received between August 24th and September 7th midnight.

Draw date September 8th

A 10% late fee on balance owing will be added after September 28th.

Like & Share the 2025 Fall Registration facebook ad @batonatlantik for a chance to WIN a free private lesson.

Draw date September 15th
Athlete's Name*

First NameLast Name
Date of Birth*
Day
Date of Birth*
Month
Date of Birth*
Year
Mailing Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Home Number

Area CodePhone Number
Mother's Name *
Mother's Cell Number

Area CodePhone Number
E-mail
Father's Name
Father's Cell Number

Area CodePhone Number
E-mail
Guardian's Name
Cell Number

Area CodePhone Number
Twirlers' E-mail
RECREATIONAL AND NEW MEMBERS - please click the class(es) you wish to enroll in:

Tuesdays 6:00 to 7:00 (Sainte-Thérèse School, Dieppe)Thursdays 6:00 to 7:00 (Mont Carmel School - Ste Marie de Kent)Sundays 1:00 to 2:00 BADGE PROGRAM (Moncton Crossman Centre) Active I to Bronze 2-BatonSundays 2:00 to 3:00 ACRO/TUMBLING (Moncton Crossman Centre) Primary to Level 3
PRE COMPETITIVE - please click the class(es) you wish to enroll in:

Tuesdays 6:00 to 8:00 (Sainte-Thérèse School, Dieppe)*NEW - Wednesday 6:00 to 8:00 ALL STAR TEAM Group 1 (Sainte-Thérèse School, Dieppe)Thursdays 6:00 to 8:00 (Mont Carmel School - Ste Marie de Kent)Sundays 1:00 to 2:00 BADGE PROGRAM (Moncton Crossman Centre) Active I to Bronze 2-BatonSundays 2:00 to 3:00 ACRO/TUMBLING (Moncton Crossman Centre) Primary to Level 3
COMPETITIVE - please click the class(es) you wish to enroll in:

Monday 6:00 to 8:00 (Sainte-Thérèse School, Dieppe)Monday 8:00 to 9:00 DANCE (Sainte-Thérèse School, Dieppe)Tuesdays 7:00 to 9:00 (Sainte-Thérèse School, Dieppe)Thursdays 6:00 to 9:00 (Mont Carmel School, Ste Marie de Kent)Thursdays 7:00 to 9:00 (Mont Carmel School, Ste Marie de Kent)Fridays 6:00 to 8:00 (Champlain School, Moncton)Fridays 6:00 to 9:00 (Champlain School, Moncton)Sundays 1:00 to 2:00 BADGE PROGRAM (Moncton Crossman Centre) Active I to Bronze 2-BatonSundays 2:00 to 3:00 ACRO/TUMBLING (Moncton Crossman Centre) Primary to Level 3Sundays 3:00 to 4:00 BADGE PROGRAM (Moncton Crossman Centre) Grey to Maple LeafSundays 4:00 to 5:00 ACRO/TUMBLING (Moncton Crossman Centre) Level 4 and up
ALL STAR TEAMS - COMPETITVE ONLY (contact your coach if your child is pre-competitive for approval) please click the class(es) you wish to enroll in:

Wednesdays 6:00 to 8:00 (Sainte-Thérèse School, Dieppe) competitive team members All Star Team Group 1Wednesdays 7:00 to 9:00 (Sainte-Thérèse School, Dieppe) All Star Team Group 2
ADULT CLASSES - please click the class(es) you wish to enroll in:

Mondays 8:00 to 9:00 (Sainte-Thérèse School, Dieppe)
Fees and number of hours based on 12 weeks:*

1 Class (1 hour) per week $135 plus tax2 Classes (2 hours) per week $240 plus tax3 Classes (3 hours) per week $342 plus tax4 Classes (4 hours) per week $420 plus tax5 Classes (5 hours) per week $480 plus tax6 Classes (6 hours) per week $540 plus tax7 Classes (7 hours) per week $588 plus tax8 Classes (8 hours) per week $648 plus taxCombo Deal Choice of 8 classes offering the 9th class free10 Classes (10 hours) per week $780 plus tax11 Classes (11 hours) per week $825 plus tax12 Classes (12 hours) per week $864 plus tax13 Classes (13 hours) per week $897 plus taxAdult Class (1 hour) per week $120 plus taxOther
ALL members must purchase the yearly Baton NB membership*

New members Recreational & Adult Baton NB Yearly Membership (no tax) $17Membership Pre Competitive Baton NB Yearly Membership (no tax) $22Membership Competitive Baton NB Yearly Membership (no tax) $45New baton $40 plus taxJazz Shoes $50 plus tax2nd member of the same family $20 credit10% late fee will be added to any balance owing after September 28th midnightOther
Total Amount
Agreement for Participation

I understand that baton twirling classes may include, without limitation, twirling, dancing, stretching, acrobatics, routines, and other related activities. I further understand that all of the activities of the baton twirling class involve some degree of risk of strain or bodily injury. Club Baton Atlantik is not responsible for personal property. I hereby acknowledge that I have read the statements above and agree to participate accordingly.

Media Consent - Photography/Media/Social Media 2025-2026 Season

During the year, photographs of athletes may be taken during competitions, clinics, awards, performances, parades, recitals or other occasions. Your consent is required or Parental/guardian consent if the athlete is under the age of majority. Media coverage is occasionally done throughout the competition season in order to promote the sport of Baton Twirling and to acknowledge club and athlete's accomplishment. This means publishing of athlete's names and club in the local newspapers and other social media. Do you grant the Club Baton Atlantik permission to post all forms of publicity including full name and image?
YES, permission is grantedNO, permission is not granted
Signature*

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Full Name*

First NameLast Name
Today's Date

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2025 FALL REGISTRATION FORM