Registration

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Welcome to Westosha Legacy Athletic Club! Please complete the following registration form.

*   denotes required fields

Referral Information
Family Information
Where do you live?
Additional Info
Contact #1
How Can We Contact You?
Portal Access (your email is your login)
(Emails are kept confidential)
Student #1
(format=mm/dd/yyyy)
Additional Info
Required Policies and Agreements
I hereby declare myself and/or my child/children to be physically sound, having medical approval to participate in activities of Westosha Legacy Athletic Club, LLC and The Ninja Zone. In the event of an injury, I hereby give my permission to Westosha Legacy Athletic Club, LLC, and The Ninja Zone, staff to render any first aid emergency treatment to my child while participating in any activity of Westosha Legacy Athletic Club, LLC and The Ninja Zone. It is understood that in an emergency situation, a conscientious effort will be made by the staff to inform the parent(s) or guardian(s). I accept responsibility for any and all medical treatment rendered to myself or my child/children. I grant Westosha Legacy Athletic Club, LLC and The Ninja Zone staff permission to transport or call for transport to an area hospital or treatment facility if it is deemed necessary. By signing below, I acknowledge and agree with the statements disclosed above as well as the Rules and Policies which can be provided to see if necessary. To ensure the safety of my child/children, I will update any changes in my contact information as necessary.

In case of illness or injury while with Westosha Legacy Athletic Club, LLC and The Ninja Zone. in case a parent cannot be reached, staff of Westosha Legacy Athletic Club, LLC and The Ninja Zone may authorize medical care and treatment for the above named child.

I hereby give my permission for my child/children and/or myself to participate in the program(s) at Westosha Legacy Athletic Club, LLC (WLAC) and The Ninja Zone. I hereby accept all risks and responsibilities for the use of the premise, area, and/or facility including the use of the equipment. I further agree to indemnify and hold harmless the staff and owners of WLAC and The Ninja Zone, including the corporate officers, from all liability claims, demands, actions, and causes of actions, that may arise out of the use thereof.

By enrolling my child/children and/or myself in a program at WLAC and The Ninja Zone, I recognize that I am obligated to follow the rules and policies of the program. I will also ensure my children understand and adhere to the rules and safety policies listed:

-Parents- We ask that you please come inside to pick up your child after class. Do not have them wait outside by themselves. If you will be late to pick up your child, please call before class is over to notify us.
- NO SHOES IN THE GYM.
- If a parent or child is not enrolled in a program/event and does not have a Release and Acknowledgement form on file, they are not to enter the gymnasium area.
- We reserve the right to drop any class that has fewer than four students enrolled.
- We reserve the right to remove a child from class because of disciplinary reasons

A $35.00 annual registration fee is required at time of registration and needs to be renewed every year from the time you signed up.
- A student may enroll at any time during a session. Class fees will be prorated.
- WLAC reserves the right to remove a child from class for non-payment.
- The parent/guardian of the child is responsible for the payment of charges. WLAC is not responsible for collecting any payments from any other party than the one who signs this form.
- All accounts must be paid in full by mid-session to continue participation in the program.

-Cancellations for inclement weather will be posted on the website and Facebook page. There are no make-ups or refunds for canceled classes due to inclement weather
-For students registered for multiple classes/days, there are no refunds or credits for missed classes. If a child has a serious illness or injury and misses 3 consecutive classes and the office is notified immediately, there will be a 50% credit for the missed classes.
-For Students only enrolled in one hour per week, Make-up sessions will be allowed. Please call the front desk to make arrangements.

I give permission for my child/children and/or myself to be photographed and/or videotaped during all classes, rehearsals, and performances. All recordings are sole property of Westosha Legacy Athletic Club, LLC (WLAC) and may be used at their discretion for any purpose they deem fit.

However, if a more restricted stipulation is needed, a written statement with a signature is to be filed with the front desk. This information will then be annotated in the child's records with WLAC and each owner will be made known of the stipulations.

I Agree to All of the Above
Questions or Concerns
Payment Information
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)