After School Program Trial Classes Registration Form
Sea Smart's mission is to inspire and empower kids to love and protect our oceans. We would love as many kids as possible to participate in our programs and are happy to offer trial classes for a limited time! This allows new students to try out 3 sessions for the low price of $75! You will have the choice to sign-up your child for the remaining 5 classes after the trial period. After filling out this form, please e-transfer $75 to info@seasmartschool.com (if adding game or t-shirt, ensure to add $21 per item).
Email address *
Parent's First Name *
Your answer
Parent's Last Name *
Your answer
Parent's phone number *
Your answer
Child's Full Name *
Your answer
Child School *
Child's Grade *
Pick up information *
Required
Pick up person name *
Your answer
Full name of emergency contact (must be different than the parent contact provided) *
Your answer
Emergency Contact Phone Number (must be different than parent contact provided) *
Your answer
How did you find out about Sea Smart? *
Required
Child's T-shirt Size or Ocean Eduction Game (Optional +$21 each)
Small shirt
Medium shirt
Large shirt
Ocean Education Game
None
Extras
Medical conditions or allergies *
Your answer
Does your child have any social, behavioural, or academic considerations? If yes, please list them and indicate the best phone number and times to reach you to chat. We would love to discuss with you how to accommodate your child's needs and ensure your child has the best possible experience in our program.
Your answer
Notes
Your answer
*I hereby approve my child's attendance in Sea Smart School Ltd's After School Program and certify that he/she is in good health and able to participate in the program activities. I authorize that the instructors act for me according to their best judgement in any emergency requiring medical attention. I waive and release all rights and claims that arise out of traveling to, participating in, or returning from the program. I understand and am aware of the associated risks with participation within such a program. I consent to the use of any photographs or video recordings that are taken of my child while participating in Sea Smart's programs. I agree to be sent information via email about Sea Smart's programs, including but not limited to photos and videos taken during the programs. Sea Smart’s payment terms are as follows: $50 Non-refundable registration fee is included in all program fees and will be deducted before any refunds are issued. 100% payment is required upon registration. All cancellations require email or phone notice and confirmation from Sea Smart at least 14 days before the program start date and will be issued a 50% refund (minus the registration fee). No refunds given for cancellations within 14 days before the program start date. Sea Smart reserves the right to cancel programs, with a full refund, if the minimum requirement of registration is not met. Sea Smart does not offer refunds or make up sessions for missed classes. Students who are disruptive, abusive or fail to follow in-class guidelines for conduct and language may be asked to leave the class, with no refund or make up session. *
Required
Please re-type your Full Name here to indicate your understanding of and consent of the above waiver. *
Your answer
After filling out this form, please e-transfer $75 to info@seasmartschool.com (if adding game or t-shirt, ensure to add $21 per item).
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