TPCA AFTER SCHOOL CLUBS
SESSION 4: MARCH 11-MAY 10
STUDENT NAME *
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EMAIL *
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GRADE *
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PARENT NAME *
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Choose Club (You are welcome to sign up for more than one club!) *
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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 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 understand that if my student(s) is registered for Roller Skating Club, I must fill out a Skate Time School Programs Permission Slip and send in full payment (made out to Amanda Misner) before he/she can participate. *
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