nove nove LLC Online Registration

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Referral Information

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Family Information

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Contact #1

Contact #1 First Name*

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Student #1

Student's First Name*

Last Name*

Student Gender*

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Additional Info

Allergies

Belt *

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Student #2 (Show-Hide Details)

Student's First Name*

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Student Gender*

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Belt *

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Student #3 (Show-Hide Details)

Student's First Name*

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Student Gender*

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Belt *

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Student #4 (Show-Hide Details)

Student's First Name*

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Birth Date* (format=mm/dd/yyyy)

Additional Info

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Belt *

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Student #5 (Show-Hide Details)

Student's First Name*

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Belt *

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Required Policies and Agreements

Liability Waiver

I, the undersigned, do hereby voluntarily submit my application for the enrollment and participation in martial arts training sponsored by Nove Nove LLC of San Diego, California. I do hereby release Nove Nove LLC, their owners, instructors, employees, representatives, volunteers, members, shareholders, directors and authorized guests, individually or otherwise, from any and all liabilities and/or claims of injury, accident, death and/or losses I may sustain or incur, physically, mentally, or emotionally, if any, while attending classes, training sessions, seminars or events, and hold harmless in the event of personal injury from the accidental, intentional, malicious, normal or abnormal use of the techniques applied before, during, and after the classes, training sessions, seminars or events. I realize that such activity involves the potential for injury or death and I assume the risk of all injury resulting from participation.

I've read the above and agree.

Media Waiver

I grant permission to Nove Nove LLC, its employees and agents, to take and use visual/audio images of me. Visual/audio images are any type of recording, including use visual/audio images of me. Visual/audio images are any type of recording, including photographs, digital images, drawings, renderings, voices, sounds, video recordings, audio clips or accompanying written descriptions. Nove Nove LLC will not materially alter the original images. I agree that Nove Nove LLC owns the images and all rights related to them. The images may be used in any manner or media without notifying me, such as sponsored web sites, publications, promotions, broadcasts, advertisements, and posters. I waive any right to inspect or approve the finished images or any printed or electronic matter that may be used with them. I release Nove Nove LLC and its employees and agents, including any firm authorized to publish and/or distribute a finished product containing the images, from any claims, damages or liability which I may ever have in connection with the taking of use of the images or printed material used with the images. I am at least 18 years of age and competent to sign this release. I have read this release before signing. I understand its content, and I freely accept the terms.

I've read the above and agree.

I Agree to All of the Above

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