Apex Breaking League
Homeschool Breaking Pre-Season: Train, Battle, & Build Skills!
Register Now!
Complete This Form To Register!
Name
Email
Phone
Address
Line 1
Line 2
City
State
ZIP code
Country
Student's Full Name
Student's Age
Sibling's Name
Sibling's Age
Breaking Experience
Enrollment Option (Select One)
Liability Waiver Agreement & Photo/Video Release
I understand that breaking is a physical activity, and I assume all risks associated with participation. I release Apex Breaking League and Bender Performing Arts from any liability.
I consent to my child being photographed/videoed for promotional purposes.
I DO NOT consent to my child being photographed/videoed.
Preferred Payment Option
ESA Class Wallet (Instructions Sent After Registration)
Venmo/Ca$h App (Instructions Sent After Registration)
Cash Payment on First Class
Online Payment Link
Additional Notes or Questions
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