Mighty Ballerz Registration Form

Mighty Ballerz Registration Form

Ages 8 - 10
🏀 At B-Ballerz, we know every child and family has different goals and schedules. That’s why we offer training options once, twice, or three times per week.

✨ Once per week is great for beginners or busy families who want to introduce their child to basketball.

🔥 Twice per week is our most popular option, perfect for steady progress and building confidence faster.

🏆 Three per week is for committed athletes who want maximum growth and a competitive edge.

Choose the option that fits your child best, we’ll take care of the rest! 💛
What is your preferred training plan?

Rookie Package - One Weekly Training Session ($197/month)All Star Package - Two Weekly Training Sessions ($297/month)MVP Package - Three Weekly Training Sessions ($497/month)
Select your training session(s)*

Mondays 6:00pm - Level: Advanced (2 SPOT LEFT)Tuesdays 4:00pm - Level: Beginner (2 SPOTS LEFT)Thursdays 5:00pm - Level: Intermediate (1 SPOT LEFT)Fridays 4:00pm - Level: Intermediate (2 SPOTS LEFT)Saturdays 1:00pm - Level: Beginner (1 SPOT LEFT)
How did you first hear about us?
Parent Information

Please complete your information below:
Parent/Guardian Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityProvince

Postal code
Phone number*
Child information
Athlete First and Last Name*
Date of Birth*

MonthDayYear
Medical Information

Please outline any medical information, allergies, caring or special requirements below for your child.
Please indicate details below
Emergency Contact

Please provide the details of another adult who can be contacted in case of emergency
Emergency Contact Name*

First NameLast Name
Contact number*
General Policies and Waiver:

1. Parent(s) of kids under 5 years old must remain within the facility during the session.

2. To waive all claims that I have or may have in the future against B-Ballerz Athletic Academy, its members, employees, volunteers, and independent contractors (all of whom are hereinafter collectively referred to as “B-Ballerz Athletic Academy”).

3. To release B-Ballerz Athletic Academy from any and all liability for any loss, damage, injury, or expense that I may suffer, or that my next of kin may suffer as a result of my participation in the activity of basketball skills training, due to any cause whatsoever including negligence, breach of contract, or breach of a statutory or other duty of care.

4. Please ensure all children's belongings are clearly labelled with their name.

5. To hold harmless and indemnify B-Ballerz Athletic Academy from any and all liability for any damage to the property of, or personal injury to, any third party resulting from my participation in a basketball training session.

6. This agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns, and representatives in the event of my death or incapacity.

7. I, the undersigned, hereby authorize B-Ballerz Athletic Academy to photograph, take motion pictures of, take video footage, and/or make electronic sound recordings. I understand that these pictures and/or videos may be posted on B-Ballerz Athletic Academy’s social media accounts including Facebook, Instagram, and other accounts.

8. In order to cancel or temporarily suspend your membership, please provide two weeks notice.

9. In entering into this Agreement, I am not relying upon any other oral or written representations or statements made by B-Ballerz Athletic Academy other than what is set forth in this Agreement.

Pausing, Cancelling Your Membership, Overdue Accounts, Make up Sessions Policies:

1. Members may request to pause their membership at any time, but note that when resuming, there may be a price change based on current rates.

2. Pausing your account does not guarantee your spot in any class or program upon resuming. Availability is subject to current capacity.

3. You must provide at least 2 weeks’ notice before your next scheduled payment to request a pause. If a request is made less than 2 weeks before the payment date, a $20 administrative fee will be charged for processing a refund.

4. If you wish to cancel your membership, a 2-week notice is required before your next payment date to avoid being charged for the upcoming cycle.

5. Cancellations requested with less than 2 weeks’ notice will incur a $20 administrative fee to process the refund.

6. If your payment is overdue by more than 10 days and the automatic payment cannot go through, your account will be paused and your membership cancelled.

7. While the account is paused due to overdue payment, you will be unable to participate in any weekly classes or programs.

8. Your membership will remain on pause until the overdue balance is paid in full.

9. Only active members can book make-up sessions. Paused/cancelled members will be void of booking any make-up sessions.
Make-Up Class Acknowledgment:I acknowledge and agree that my child is entitled to one (1) make-up class per 4-week cycle in the event of a missed session. I understand that this make-up class must be scheduled and completed within one (1) month of the missed class. I also understand that make-up classes cannot be carried over beyond this one-month period, and additional missed sessions will not be eligible for rescheduling. By signing below, I confirm that I have read and understood this policy. Missed classes without prior notice will not be eligible for rescheduling.The makeup class must be taken within the same cycle, or at most carried over to the following cycle if booked properly.*

I understand
I have read and understood this agreement and I am aware that by signing this agreement I am waiving certain legal rights which I, or my heirs, next of kin, executors, administrators, and assigns may have against B-Ballerz Athletic Academy.*

I understand
NO OUTDOOR SHOES ALLOWED IN THE ACADEMY. All outdoor shoes must be removed. I understand that my child can only participate with appropriate Indoor Athletic/Training shoes. (We encourage kids to change into their shoes at the academy).*

I understand
In order to maintain a clean and healthy environment, I agree to remove any outdoor footwear in the facility.*

I agree
I authorize B-Ballerz Athletic Academy to charge my credit card provided on my account, for current and future enrolments or service purchases.*

I agree
In addition to giving this full consent for my child's participation, I do hereby agree to waive any claims and/or rights that I might otherwise sue B-Ballerz Athletic Academy, its admins, directors, shareholders, employees, agents and all others associated with the corporation from all liability for any and all damages and/or injuries that might occur as a result of these activities.*

I agree
By checking this box, I acknowledge and agree to the updated policies regarding pausing, canceling memberships, overdue accounts and make up sessions, including the requirement of a two-week notice prior to payments, potential membership price changes upon resuming, and the $20 fee for refunds requested without notice.*

I agree
--- Please be informed classes start once registration is completed---

Fee: $497/month for 3 training sessions per week

$297/month for 2 training sessions per week

$197/month for 1 training session per week

--There will be a one-time annual charge of $97 which includes the athlete uniform and yearly insurance coverage.

--Ask about sibling discount.

Payment*

All-Star *RecommendedTwo Weekly Training Sessions

$394.00CAD for the first payment then,$297.00CAD for each month

RookieOne Weekly Training Session

$294.00CAD for the first payment then,$197.00CAD for each month

MVPThree Weekly Training Sessions

$594.00CAD for the first payment then,$497.00CAD for each month

Enter coupon

Subtotal

$0.00CAD

Tax

$0.00CAD

Credit Card

Signature*

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Mighty Ballerz Registration Form

Parent Information

Child information

Medical Information

Emergency Contact

Credit Card