Summer Registration Form
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Child's Name
Age
UPCOMING Grade
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School
Subject area with greatest need
Parent Contact Name
Parent Cell
Parent Contact email
Additional parent or emergency contact (name and cell)
I hereby release, acquit and agree to hold harmless, Quest Academy, it’s agents, instructors, successors, and assigns, from any liability or claims of any kinds whatsoever, resulting or arising from my participation in any programs, classes, camps or any other function otherwise offered or sponsored or participated in by the Academy, including, but not limited to, the participation therein by my child(ren). *
Because our schedule is extremely tight, please arrive on time to pick up your child. I understand that emergencies arise at times, but there will be a $10 late charge for students left in excess of 10 minutes unless previous arrangements have been made. *
I understand my child's spot will be reserved once payment is received. There are no refunds for missed classes or cancellations. *
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