Teen Registration

First Name

Last Name

Address

City

Zip Code

Date of Birth

School

Email

Phone

Emergency Contact Name

Emergency Contact Phone

Membership Agreement By checking this box, I agree to become a member of The Zones. I acknowledge that I am of legal age to consent to The Zones' policies and agreements or that I have obtained permission to become a member from a parent or guardian.

Media Release The Zones takes pictures and video periodically for social media, promotional and advertising purposes. By checking this box, you agree to being photographed or have video taken and used for these purposes in the form of print or digital copies. No compensation or royalties will be provided as a result of photo and media taken.

Behavior Policy I acknowledge that I have read, understood, and agree to comply with the behavior policy of The Zones as a condition of becoming a member of the organization. I understand that The Zones Behavior Policy is designed to promote a safe, respectful, and positive environment for all participants. I agree to conduct myself in a manner consistent with the guidelines outlined in the policy, which include but are not limited to respecting others, including participants, instructors, and staff, following directions from instructors and staff at all times, refraining from disruptive, harmful, or inappropriate behavior, maintaining a positive attitude toward learning and participation. I understand that failure to adhere to The Zones’ behavior policy may result in disciplinary action, including warnings, temporary or permanent dismissal from the program, at the discretion of the staff or administration. I further understand that no refunds shall be made for removal from the program.