After School Enrichment 2016-2017
Registration Form 2016-17
Wasatch Family Foundation is pleased to provide several exciting after school activities for students of every age and interest. Class availability is based on a minimum number of students to move forward and alternatively, once that minimum is met, there may be a maximum cap on the number of students accommodated, so we encourage parents to enroll your children early. You will receive an enrollment confirmation notice prior to the start of class.
Child's Name: *
Your answer
Grade: *
Your answer
Date of Birth: *
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DD
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Name of Parent / Responsible Party: *
Your answer
Email Address: *
Your answer
Phone Number: *
Your answer
Home Address: *
Your answer
Emergency Contacts*:
*REQUIRED: Name and Phone Number of at least TWO contacts
Your answer
For which classes are you enrolling your child? *
Yes
No
Photography Class A (3rd-5th Grade) $200
Photography Class B (6th-8th Grade) $200
Soccer (K-8th Grade) $110
Yoga Class A (K-3rd Grade) $110
Yoga Class B (4th-8th Grade) $110
What is the interest level for the following classes? *
Please provide your feedback to help us understand where to place priority in bringing classes to the school community.
Very interested, will sign up when offered
Maybe, need more details
Not interested
Creative African Dance Fall 2016
Hand Sewing Fall 2016
Indoor Rock Climbing Winter 2016
Skiiing Winter 2016-17
Cross-Country Skiing Winter 2016-17
Snowboarding Winter 2016-17
Archery Spring 2017
Pottery Spring 2017
Nature Club Spring 2017
Experiments in Architecture Spring 2016
Balloon Art Spring 2017
Musical Theatre Spring 2017
Beginning Cooking Spring 2017
Release of Liability / Signature of Consent *
I/We the parents/guardians of the above named child hereby give my/our approval to his/her participation in any and all of the activities of The Wasatch Family Foundation After School Enrichment Program to which we implicitly enroll. I/We hereby waive all claims against The Wasatch Family Foundation organizers, instructors, sponsors, directors or any of the supervisors in case of injury to my child. I hereby release, discharge and/or otherwise indemnify The Wasatch Family Foundation and its affiliated organizations, schools, not for profit agencies and/or sponsors, their employees and associated personnel, including the owners of fields and facilities utilized for the programs and any companies, not for profit agencies or individuals retained to provide transportation to and from the fields and facilities, against any and all claims for damages by or on behalf of the above named child as a result of the child's participation in the program or sport and/or being transported to or from the same, which transportation I hereby authorize. I further agree to hold harmless, defend, and indemnify The Wasatch Family Foundation of and from any claims from third parties arising from or related to the above named child’s participation or involvement in any of the activities of The Wasatch Family Foundation After School Enrichment Program. I have read the agreement written above and understand it's terms and conditions.
Required
Thank you! We will contact you with further details.
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