REGISTRATION WAIVER

Attendee First Name *

Attendee Last Name *

Address

Street Address *

City *

Region *

Country *

Postal code *

Date of birth *

Age *

Gender *

Social Media

*We can tag and share your moments at our Centre

Equipment Needed *

Skateboard

Helmet

Pads

None

Attendee Picture

Please provide a square close-up picture of the attendee

*ALL PARTICIPANTS MUST WEAR A CERTIFIED HELMET, KNEE PADS, ELBOW PADS & WRIST GUARDS

Initials

Clear

Legal Responsible Initials for the safety helmet

Legal Responsible Full Name

Email *

Phone *

Initial Program

*Terms of Service
Please note: If you miss your appointment entirely without giving a 24 hour notification (no-show) to [email protected] or by texting (604) 260-0783, you may be subject to a loosing your lesson or having to reschedule to an available group class. Camps and special programs may require 30 days notice.

I agree to the terms of service.

I HEREBY RELEASE One Love Activity Centre & Supply LTD, all associated sales agencies, locations, representatives and service providers according to the terms of service.

Signature *

Clear

Legal Guardian's Signature

Legal Guardian's relation to the attendee *