TPCS After School Clubs and Classes
2018/19 Session 2 (October 31-December 17)
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Student Name *
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Date of Birth
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Choose Club *
I understand that karate involves physical activity and the risk of injury. With this appreciation, the undersigned hereby agrees to waive, discharge and hold harmless Jeanie Gensheimer Martial Arts and it instructor from any claims for personal injury in any way related to participation in karate classes. Student does hereby grant and convey unto Jeanie Gensheimer Marial Arts all rights, title and interest in any and all photographic images and video or audio recordings made by Jeanie Gensheimer Martial Arts during the student's activities with Jeanie Genshemer Maritla Arts, but not limited to, any donations proceeds, or other benefits derived from such photographs or recordings.
I wish to enroll my child in the selected club. I understand that the classes are conducted in a fun and safe manner and will not hold the specific instructor or Traders Point Christian Academy liable for accidental injury. By clicking below I agree to the above statement. *
I agree that my registration for this club IS NOT COMPLETE until I have paid the required fee. Checks to be made payable to the specific instructor. Checks may be dropped off at the front desk of the Academy. *
A copy of your responses will be emailed to the address you provided.
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