NEEC 2022 Fall Semester Registration Form
2022 Fall session will start from Sep.12th to Jan.31st. There are 5 months total.
Location: 227 Michael Dr., Syosset, NY 11791
Contact: phone 516-323-5157
Email: info@newenergyedu.com
Web: www.newenergyedu.com
Sign in to Google to save your progress. Learn more
Student name *
Gender *
Date of birth *
MM
/
DD
/
YYYY
Current School *
Grade (Sep.2022) *
Contact Email *
Parents name *
Emergency Contact Phone Number *
Address *
2022 Fall Class Schedule
Captionless Image
2022 Fall Class Schedule
Captionless Image
After School Program
Captionless Image
Bundle Program
I am registering my child(ren) in New Energy Education Center’s program, who is in excellent health and able to participate in all activities. I fully acknowledge that participation these programs includes but is not limited to physical exercise which could cause injury of the participant. I am voluntarily participating in these activities and assume all risks of injury to my child that might occur. I acknowledge that it is my responsibility to decide whether my child is physically fit for participation. I hereby express release and hold harmless to the Company, its servants, agents, or employees from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities including the negligence of them and any loss of theft of personal property as a result of my participation in these activities. I further agree to allow the program to use photographs or video taken during the participation for future promotion purposes.  I also agree to comply with the Rules and Regulations provided. Once the class starts, there will be no refund available. I have read this agreement, fully understand its terms, understand that I have given up substantial rights by signing it and signed it freely and without any inducement or assurance of any nature and intend it be a complete and unconditional release of all liabilities to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid, the balance, notwithstanding, shall continue in full force and effect. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy