Aerial Fusion Baton
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Aerial Fusion Baton Registration Form
ATHLETE INFORMATION
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First Name:
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Last Name:
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Street:
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City:
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Province:
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Postal Code:
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Home Phone:
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Birthdate:
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Email:
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Gender:
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F
PARENT(S)/GUARDIAN(S) INFORMATION
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First name(s):
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Last name(s):
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Email:
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Home Phone:
Work Phone:
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Cell Phone:
MEDICAL/EMERGENCY CONTACT INFORMATION
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Emergency Contact:
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Phone:
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Relationship to Baton participant:
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Any relevant medical history for the participant? (allergies, injuries, etc):
WAIVER INFORMATION
Waiver:
I acknowledge that certain risks of injury are inherent to participation in baton. These types of injuries may be minor or serious and may result from one’s actions, or the actions or inactions of others or a combination of both. I understand that certain activities require a minimum level of fitness and health (physical, mental and emotional and that each person has a different capacity for participating in these activities. Some activities involve an intense level of activity. I agree that Aerial Fusion Baton and staff shall not be liable for any injury, loss or damage to person or property, incurred during this program, including deterioration of health or illness or aggravation of any pre-existing condition resulting from participation in these activities, property damage or lost property.
I/we agree with the above
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Expectations: Proper attire is necessary to ensure the athlete gets the most out of class and to prevent injury. Athletes are required to come to class in appropriate footwear, tights, body suit and hair up and secured. Failure to come to class appropriately dressed may result in the athlete being removed from class.
I/We agree with the above.
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Behaviour: In order for each athlete to reach their full potential, respect is essential, and we need both athlete and parents’ cooperation and good behavior. Any parent or student acting in a disrespectful manner, or creating conflicts or making derogatory comments towards other parents, students, teachers, or other clubs and athletes, will be strictly dealt with, and may result in the student being removed from class permanently.
I/We agree with the above.
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Photography/Video/ Website/ Publicity:
I agree that my child’s picture may be used for promotional materials, including printed and website material, and that my
child may video-taped at the Christmas performances, competitions and year-end recitals.
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:
I/We agree with the photo/video waiver.
I/We do not agree with the photo/video waiver
CLASSES (Check all that apply)
Recreational Program (45 minutes)
Full Recreational Program (Oct-April) - $200 - 10% = $180
Recreational Program Oct-Dec - $100
Recreational Program Jan-April - $100
Pre-Competitive Program includes weekly training in preparation for MBTSA competitions. May include some additional lessons throughout the year. Participation in the Pre-Event Challenge is expected as well.
Pre-Competitive Class - 45 minutes - $40/month
Competitive Program is for athletes in at least 2 competitive events. Participation in all MBTSA competitions and at Canadian Championships is mandatory.
One hour Private lessons - $80 per month
Skills Class - $30 per month (required for competitive program)
Compulsories/Short Program - $20 (required for freestyle athletes)
Duet - $20 per month per athlete
Group Events - Participation in at least 1 group event is expected
Twirl Team - $20 per month
Dance Twirl - $20 per month
Other Classes
Acro Class (45 minutes) - open to all participants - $20 per month
PAYMENT
Pre-Competitive Registration fee = $40.00 (one time fee)
Competitive registration fee ($40) and gym fee ($150) = $190 (one time fee)
$10 off first month or recreational program if register before October 1
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First month total - total of classes with applicable gym and reg fees for pre-competitive and competitive (add '0' if none):
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Total Amount per month after first month (classes only):
Received by:
Payment information:
1) Please make cheques payable to Aerial Fusion Baton.
2) Pre-Comp: Please pay in 7 post-dated cheques dated the 1st of every month (Oct to April)
3) Competitive: Please pay in 8 post-dated cheques dates the 1st of every month (Oct to May)
4) Missed lessons without prior notice may be assessed a credit
5) Any missed private lessons will be reconciled in May
6) June fees, for athletes attending Canadians, will be assessed separately
7) Pre-Comp and Competitive - there is an additional fee for membership with the Canadian Baton Twirling Federation. Please see coach for details if you have not received your forms.
8) Registration and Gym Fee is due upon registration
I/We understand the information given above related to payments.
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Thank you! Please click 'Submit' below and then 'Checkout' on the next screen to complete your registration. The AF treasurer will contact you directly if there are any discrepancies in the calculations. Please bring cheques to the first class. See you soon!
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