Fall 2024 Financial Aid Request Form for Elementary Chorus

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You must complete this Financial Aid Request form if you'd like to request aid for the Fall Semester 2024 Chorus. Please do not register for Elementary Chorus using the drop downs on the main menu or by registering through CRPD. We will use this form and process your registration.

If your student is a registered ELOP student, please fill out the required paperwork with your school office in order to enroll them. Do not fill out this form.

If you are registering more than one student, please complete a separate request for each individual student.

There is a link for additional requests at the end of this form.

You will receive a confirmation email from a CRPD email address that will confirm that they are registered and which will include what payment is due.

Email *

Parent or Guardian First Name *

Parent or Guardian Last Name *

Student First Name *

Student Last Name *

Student Date of Birth *

YYYY

Street Address *

City *

State *

Zip Code *

Parent or Guardian Email Address *

Best Phone Number *

Alternate Phone Number (optional)

Any other important contact information we need to know (optional)

What grade is your child in? *

What Elementary School does your child attend? *

Which chorus program are you registering for? *

Please tell us why you are registering for financial assistance.

These answers are solely for our records, they will not be used to determine registration and financial aid for the class.

How much tuition are you able to pay? *

Tuition for the Spring 2024 Session of Elementary Chorus is $150. While we can provide up to 100% full assistance, the financial aid pool can serve more students if each parent pays an amount that they can afford. Our suggested minimum payment is $37.50, a quarter of the total amount.

Please note that whatever amount you put here, you will be required to pay in order for your child to attend class.

Are you interested in a payment plan for the amount you are able to pay?

Multiple payments would be on the 1st of each month until fully paid. We can also schedule a single payment for a specific date.

We will call you to setup a payment plan for scheduled auto payments.

By clicking "I AGREE" below, I agree to the following AGREEMENT, WAIVER, and RELEASE (this will be taken as your virtual signature)
*

In consideration for being permitted by the Conejo Recreation & Park District ("CRPD"), City of Thousand Oaks ("CTO"), Conejo Open Space Conservation Agency ("COSCA"), Conejo Valley Unified School District ("CVUSD"), and City of Westlake Village ("WLV") to participate in the above activities, I hereby waive, release, and discharge any and all claims for damages for personal injury, death, or property damage which I may have, or which may hereafter accrue to me, as a result of participation in said activities. This release is intended to discharge in advance the CRPD, CTO, COSCA, CVUSD, and WLV (collectively "entities") (including their officers, employees, volunteers, and agents) from any and all liability arising out of or connected in any way with my participation in said activities, even though that liability may arise out of active or passive negligence or carelessness on the part of the persons or entities mentioned above.

It is further agreed that this waiver, release, and assumption of risk is to be binding on my heirs, administrators, executors, and assigns, and that I shall indemnify and to hold the above persons or entities (including its officers, employees, volunteers, and agents) free and harmless from any loss, liability, damage, cost, or expense which may arise out of or is connected in any way with my participation in said activities.

Additionally, I fully understand that my participation in the above-referenced activities exposes me to the risk of personal injury, death, communicable diseases, illnesses, viruses, and/or property damage. I hereby acknowledge that I am voluntarily participating in this activity and agree to assume any such risks.

VIRTUAL CLASS RELEASE: I hereby warrant and agree, that the conditions of my environment are safe, free from obstructions, and are suitable for participation in the above-referenced activity. I further understand and agree that any material downloaded, viewed or otherwise obtained through my participation in said activity is done at my own risk and the District is not responsible for any loss, alteration, corruption or other damage to my personal property, including computers, networks and other property used as part of my participation.

PHOTOGRAPHIC RELEASE: I understand that photographs may be taken during these activities and hereby grant the District permission to use any such photo(s) for advertising or in promotional materials.

PARENTAL/GUARDIAN CONSENT: (to be completed and signed by parent/guardian if participant is under 18 years of age) I hereby consent that those listed above participate in the above activities, and I hereby execute the above Agreement, Waiver, and Release on his/her/their behalf. I state that said minors are physically able to participate in said activities. I hereby agree to indemnify and hold the persons and entities mentioned above (including their officers, employees, volunteers, and agents) free and harmless from any loss, liability, damage, cost, or expense which may arise out of or is connected in any way with said minor/s' participation in said activity.

I UNDERSTAND THAT IMPORTANT INFORMATION is available regarding 1) concussions that may occur during physical activities, and 2) information regarding the use of opioids, and acknowledge receipt of the information via www.crpd.org/concussion and www.crpd.org/opioid.

CONSENT FOR EMERGENCY MEDICAL TREATMENT: As the participant or the parent, legal guardian, or appointed conservator of the participant of this program, I hereby give consent to the Conejo Recreation & Park District to obtain all medical or dental care for myself or my dependent as prescribed by a duly licensed medical professional. This care may be given for whatever conditions are necessary to preserve the life, limb, and well-being of myself or my dependent.

I UNDERSTAND THAT THE CONEJO RECREATION AND PARK DISTRICT HAS A CODE OF CONDUCT (www.crpd.org/conduct) AND AGREE TO ABIDE BY ITS POLICIES AND CONDITIONS.

I HAVE CAREFULLY READ THIS AGREEMENT, WAIVER, AND RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND THE ABOVE ORGANIZATIONS AND I SIGN IT OF MY FREE WILL.

I AGREE

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