VILLAGE OF BRIARCLIFF MANOR RECREATION DEPARTMENT 3 LIBRARY ROAD, BRIARCLIFF MANOR, NY 10510 Phone: (914) 941-6560 ~ Fax: (914) 944-2748 THE GRIT NINJA The Grit Ninja has packed up equipment and is ready to turn the Youth Center field into a unique ninja warrior obstacle course! During each action-packed class, aspiring ninjas will climb, swing, jump and run on our ever-changing equipment (which includes a rock wall traverse, monkey bars, grip gauntlet, cliffhanger, balance courses, Grit Grid and so much more)! Classes are led by The Grit Ninja’s professional coaches – many of whom have competed on NBC’s American Ninja Warrior. Their coaches will guide ninjas as they tackle our fun obstacles that build strength, coordination, agility, balance, problem-solving skills, self- confidence and, most importantly, GRIT! ELIGIBILITY: Open to residents of the Village of Briarcliff Manor (VBMR). Briarcliff Manor School District residents (BMSD) GRADES/TIMES: 1–3 9:30 – 10:30 am 4-6 10:45 – 11:45 am DAYS / DATES: Monday – Friday July 27th – July 31st WHERE: Youth Center 5 Van Lu Van Rd INSTRUCTOR: Grit Ninja Coaches FEE: $175.00 for five (5) one hour sessions – Village Residents (VBMR) $185.00 for five (5) one hour sessions – School District (BMSD) & Non-Residents REGISTRATION: Begins immediately online or by utilizing the drop box at the Recreation Department, 3 Library Road. Registrations will be accepted on a first-come, first-served basis. Registration deadline is Friday, July 17th. PLEASE NOTE: Maximum 24 kids per age group will be permitted and all participants must sign a WAIVER to participate. --------------------------------------------------------------------------------------------------------------------------------------- Grit Ninja – Act# 1060 Fee: $175.00/Village Residents (VBMR) - $185.00/School District (BMSD) & Non-Residents (NONR) CHILD’S NAME: ____________________________________________ PHONE: _______________________________ ADDRESS: ___________________________________________ CHECK ONE: Grades 1-3: ___________ Act. 1060 Sec # 1 Grades 4-6: ___________ Act. 1060 Sec # 2 The undersigned hereby recognizes that there are inherent risks involved with participation in this program and agrees to release and hold harmless the Village of Briarcliff Manor, their employees and volunteers, of any liability whatsoever in connection with any damages and/or injuries that the above named person may sustain as a result of participation. E-Mail Address: ________________________________ _________________________________________ (For receipt/Dept. purposes only) Signature of Parent or Guardian METHOD OF PAYMENT: CASH CHECK # __________ MasterCard / Visa** (additional 2.5% fee) Checks payable to: Village of Briarcliff Manor ($20 fee for returned checks). ** Credit Card information below is shredded after processing. DATE: ____________ AMOUNT: _____________ RECEIPT#:_____________ ************************************************************************************************************************** Credit Card #: Exp. Date: Cardholder Signature: .