The UAA Disclaimer / Registration Form
PLEASE GET A PARENT OR GUARDIAN TO FILL OUT THIS FORM ON YOUR BEHALF IF UNDER 18 YEARS

THE INFORMATION COLLECTED WILL ONLY BE USED BY THE URBAN ARTS ACADEMY AND NOT SHARED WITH ANY OTHER PARTY.
Email address *
Name of Parent or Guardian if under 18
Your answer
Name of Participant *
Your answer
Age *
Your answer
Address *
Your answer
Contact Number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Disclaimer
I understand that classes/sessions offered by The Urban Arts Academy have inherent risks, including but not limited to Flips & Tricks, Calisthenics, Open Gym Training, Parkour and Next Level Fitness. I assume responsibility for the participant or myself if any injuries occur during any class/session offered by The Urban Arts Academy.

I agree that participation is completely voluntary and I will not hold the The Urban Arts Academy responsible for any harm that may result from participating in any class/ session.

I understand that adult open sessions are unsupervised and any participation is at my own risk.

<Our instructors are highly experienced in their field of coaching and will do everything they can to ensure that you and/or your child can learn in a safe environment. The Urban Arts Academy will from time to time take photographic and video material to upload onto the website or social media>

I am happy for the participant or myself to be in photos and videos.

If I am found to be deliberately providing false information or am party to any antisocial behaviour during any class or session I may be asked to leave the premises without a refund.
By checking this box I confirm I have read and understood the above disclaimer *
Required
Please make us aware of any important medical or behavioural conditions
Your answer
Your completed registration will be checked on your first visit.
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