AGM "Mayrig & Me" 2018-2019 Registration
Class Times:
Tuesdays 9:15am- 10:00am
Mondays: 6:00pm-6:45pm
Class Address: 5311 W. McFadden Ave. Santa Ana CA 92704 (preschool classroom)
Contact us at (714) 839-7831
Name of Child *
Your answer
Date of Birth *
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DD
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Name of Mother and/or Father *
Your answer
Home Address *
Your answer
Phone Number *
Your answer
E-mail Address *
Your answer
MORNING SESSIONS Tuesdays 9:15-10:00am: Please indicate the weeks you and your child will attend class.
EVENING SESSIONS Mondays 6:00-6:45pm: Please indicate the weeks you and your child will attend class.
In case of emergency please notify: (Name, Phone Number, Relationship) *
Your answer
I understand that potential injuries can occur during any activity involving motion or playtime. I understand it is the expressed intent of AG Minassian "Mayrig & Me" to meet in a safe and friendly environment. I understand the safety and good health of my child is my sole responsibility . I understanding that during all times of the program a parent/guardian must accompany the child. *
Required
I hereby release Ari Guiragos Minassian "Mayrig & Me", their respective officers, directors, agents and employees for all liability for any damages suffered by me or my child. I understand that I am responsible for any possible medical expenses which may be incurred by my child as a result of any injury sustained while participating in related activities on the Ari Guiragos Minassian Armenian School campus. This acknowledgement of Risk & Waiver of Liability having been read through thoroughly and understood completely is signed voluntarily as to its content and intent. *
Required
I agree to pay the one-time registration fee of $25 as well as $100 per session in full prior to my arrival to the first class. *
Required
By entering your (parent or guardian) full name and initials in the box below, you are effectively providing your signature, indicating that you have read and understood all the above mentioned terms, and accept the terms of this enrollment agreement. You verify that all the information on this form is true and accurate. * *
Your answer
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This form was created inside of Ari Guiragos Minassian Armenian School.