African Drumming Club Registration
3:30 to 5:00, Mondays, February 24th - March 30th (6 weeks)
Pre-K through Grade 8
Club Size: 6 to 20 children
Email address *
AWS, 525 West Falls Rd, West Falls, NY; 716.655.2029 office@aurorawaldorfschool.org
Child's Name *
Your answer
Child's Grade *
Required
1st Parent/Guardian Name (Primary contact during the club) *
Your answer
1st Parent/Guardian Cell Phone # *
Your answer
2nd Parent/Guardian Name
Your answer
2nd Parent/Guardian Cell Phone #
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Cell Phone # *
Your answer
Indicate any specific pick up information here including alternate adults permitted to pick up your child *
Your answer
PAYMENT OPTIONS ($108 per AWS student or $120 per non-AWS student)
Payment is due prior to the 1st club meeting. Cash, Check written to AWS, or Credit Cards are accepted. Checks may be dropped off from 8 am - 3:30 pm on school days or mailed to AWS, 525 West Falls Rd, West Falls, NY 14170. Credit Cards may be used in person or via phone (716.655.2029) from 8:45 am - 2:30 pm on school days. Please note that the school is closed for Mid-Winter Recess February 17th through February 21st.
Payment Agreement *
Payment Amount - I agree to pay the below amount: *
General Club Waiver
I hereby consent to the above-named child's participation in Clubs at Aurora Waldorf School. I acknowledge that participation in this club may expose the child to the possibility of injury. I hereby give permission to the staff of the club to seek medical attention for the child in the event of an illness, accident or injury during the club. I acknowledge that children participating in Handwork clubs will be exposed to needles and tools. I acknowledge that children participating in cooking clubs will be exposed to knives and kitchen tools. I acknowledge that children participating in some clubs may also be exposed to challenging physical movements throughout the course of sessions. I acknowledge that neither Aurora Waldorf School nor its employees will be held responsible for injuries sustained at the school. I hereby waive and release the employees at Aurora Waldorf School from any and all liability claims, demands, actions and/ or damages that occur while attending clubs and assume all responsibility for named child, should an injury, accident or illness occur during a club session.
Consent *
Media Waiver *
A copy of your responses will be emailed to the address you provided.
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