SOAR Registration FALL 2018
Enrollments via this form will be accepted starting THURSDAY, AUGUST 30th through the end of the school day on FRIDAY, SEPTEMBER 7th.

Please fill out a separate form for each student you would like to enroll in SOAR - upon submission of your first form, you will see a link to "Submit another response" should you have more than one student.

*Please note that your workshop choices are not considered finalized until you receive your official "FALL 2018 Enrollment Confirmation" email sent to you from soarenrichment@gmail.com on or before MONDAY, SEPTEMBER 10th. Payments are due AFTER you have received your final confirmation.

Email address *
STUDENT INFORMATION
Type in Your Student Information. After submission, you will have the option to fill in additional forms for siblings.
LAST Name (Student) *
Your answer
FIRST Name (Student) *
Your answer
Grade *
Teacher *
WORKSHOP CHOICES - MAGIC & TAP CANCELLED. ART&STORY, FARM, WOOD, and KITCHEN-REDHAWKS ARE FULL
Choose in Order of Preference. The "Special" Fall Options Are Listed Separately.

NOTE:
THE FOLLOWING HAVE BEEN CANCELLED: MAGIC, TAP.
THE FOLLOWING ARE FULL AND CLOSED: ART&STORY, FARM, WOOD & KITCHEN-REDHAWKS.
Please do not pick any of these options.

How Many Workshops Do You Want? *
First Choice
Second Choice
Third Choice
Fourth Choice
ADDITIONAL SOAR OFFERINGS NOTE: BABY SITTER RED CROSS HAS BEEN CANCELLED
Disney's Cinderella KIDS , Make Cinderella Come to Life Set Building, Ultimate Frisbee Clinic Available
(BabySitter REDCROSS has been cancelled).
Additional 1
Additional 2
Additional 3
Additional 4
Your Comments/Notes About Workshops:
Your answer
Scholarship Request Amount?
Your answer
EXTRAS Credit?
Your answer
Middle School Helper Credit ?
Your answer
PARENT/GUARDIAN/EMERGENCY CONTACT INFO
All Fields Must Be Completed
Parent/Guardian Legal Name(s) *
Your answer
Secondary Email in addition to the submitting email listed above?
Your answer
Day Phone(s) Parent/Guardian *
Your answer
Evening Phone(s) Parent/Guardian *
Your answer
AFTER SOAR
Check all that apply and use the Pickup Notes if needed.
PICKUP *
Required
Pickup Notes?
Your answer
Emergency Contact: Name and Relationship *
Your answer
Emergency Contact Phone(s) *
Your answer
ALERTS/ALLERGIES/CONCERNS
Allergies, medical conditions, medications or any other concern that we should be aware of (all information will be kept confidential).
Alerts
Your answer
PHOTO PERMISSIONS
"YES" or "NO" must be selected for each option.
*
YES
NO
SOAR or SCS Website
SOAR Promotional Materials
SOAR FACEBOOK
LOCAL MEDIA
COMMENT on Media Permissions?
Your answer
INSURANCE WAIVER
Insurance Waiver: By typing your name below, you agree to the following:
The undersigned, as the parent(s) having legal custody or as the legal guardian of the minor listed above in this application, do hereby give permission, consent and authorization for such minor to participate in SOAR Extra-Curricular Activities during the period of enrollment in SOAR programs.  

Subject to the exceptions set forth below, the Undersigned (1) assumes all risks associated with participation in our activities, (2) agrees to indemnify, defend and hold harmless SOAR/Salisbury Central School Educational Enrichment Endowment Fund, it’s agents, employees, officers, directors, successors and assigns and fully and forever release and discharge such parties from anyand all claims of any nature to include but not limited to the following: demands, actions, causes of actions, suits, controversies, obligations and liabilities of any kind and nature whatsoever (collectively referred to as Claims) relating to personal injury, bodily injury and/or death or property damage sustained, incurred or caused by said minor afore described program or any other events and occurrences while said minor is engaged in the Program or any activity related thereto.  

The foregoing assumption of risk, aforementioned to indemnify and release shall further be inapplicable to and of no force and effect for any and all Claims asserted against any third party independent contractor performing services for compensation in connection with the Activities, except to the extent and amount that such third party independent contractor has a valid right, and claim for contribution, reimbursement or indemnity which is not covered by the above described insurance and is asserted against SOAR/Salisbury Central School Educational Enrichment Endowment Fund, its agents, employees, officers, directors, successors and assigns.

Typed Parent/Guardian Signature *
Your answer
DATE *
MM
/
DD
/
YYYY
MAILING/HOME ADDRESS
STREET1 *
Your answer
STREET2
Your answer
CITY, STATE ZIP *
Your answer
A copy of your responses will be emailed to the address you provided.
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