This sign-up is to gauge interest for classes for 2016-2017 year at the Lighthouse Home School Tutorial. Cost for all classes except Science is $5.00 a week for the first child and the second child of the same family is FREE. Science Classes are $12. for the first child and siblings are $10.00 each week. Classes will meet on Thursday's, beginning at 9AM but the daily schedule will be set in August after we see what people are interested in. All classes below will NOT be offered we are looking for who is interested in which class. If you are looking for a class not listed please write it in the other box.
Parent Phone number
Parent Email address
Please check classes you are interested in
We will have a detailed schedule in August.
Music Class ages 5- 7
Art Class ages 8-12
Music Class ages 8-12
Art Class ages 5-7
English Creative writing Class 8-12
English Creative writing Class 12-15
Computer Movie Maker Video
Research and Report Writing Grade 6 to 12
Children's First Name and Ages
In consideration of your accepting our child or children for participation in the above named program, activities and Sports, I hereby, for myself, my heirs, executors, and administrators, waive and release any and all rights and claims for damages that I may have against the above named organization, Lighthouse Homeschool Tutorial, and its agents, employees, representatives, successors and assigns for any and all injuries suffered by myself or my child or children that rise out of the above-named program and activities and sports sponsored by the above named organization. I warrant that I have the right to authorize the foregoing and do hereby agree to hold the above-named organization harmless of and from any and all liability of whatever nature, which may rise out of or result from such participation. I hereby release, forever discharge and agree to hold harmless Lighthouse Christian Fellowship, Antioch, Tn, and the directors thereof from any liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the child participant that occur while said child is participating in Lighthouse Homeschool Tutorial. Furthermore, we (I) hereby assume all risk of personal injury, sickness, death, damage and expense as a result of participation in recreation and work activities involved in the Lighthouse Homeschool Tutorial. The undersigned further agree to hold harmless and indemnify said church, its directors, employees and agents, for any liability sustained by said church as the result of the negligent, willful or intentional acts of said participant, including expenses incurred thereto. We (I) are the legal guardians (s) of this participant, and grant our (my) permission for their participation in Lighthouse Homeschool Tutorial, and give our (my) permission to take said participant to a doctor or hospital and hereby authorize medical treatment including but not limitation to emergency surgery or medical treatment, and assume responsibility of all medical bills, if any. For the consideration stated above, I further agree that in the event that my child or I should make any claims against the above named organization for damages arising out of the above named program, activities or sports, I will personally indemnify, defend, and hold harmless the organization and its agents, employees, representatives, successors, and assigns against any and all loss and damage occasioned thereby, including attorney’s fees. I have read and understand the Agreement and have willingly placed my signature below as evidence of my acceptance of all the conditions contained herein.
By checking this box you are acknowledging that you have read the waiver and agree to it.
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