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Vector Training Centre Waiver
Please fill in prior to your first class start
Students under the age of 18 will need a parent/guardian to sign for them
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* Indicates required question
Email
*
Your email
Member Full Name (First & Last)
*
Your answer
Parent/Guardian Full Name (if student is under 18 years of age)
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Address
*
Your answer
Phone Number
*
Your answer
Experience Level
*
No experience
Beginner (less than 12 months)
Intermediate (1 - 3 years)
Advance (3+ years)
Medical Conditions, Allergies or Injuries (Optional)
Your answer
Waiver
*
I understand agree to the terms stated above
Date Signed
*
MM
/
DD
/
YYYY
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