Art Session 1 2018-2019

Student 3 Name

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Date

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Student 4 Name

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Student Birthdate

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Parent / Legal Guardian Name

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POLICY AGREEMENT: I understand: enrollment is based on a first come first served basis. CW will contact 911 in the event of an emergency and if I cannot be reached. Neither CW nor its individual staff or volunteers shall be liable or responsible for any injury that may occur to the student at any time or any place during the program. I will be responsible for the medical fees for the above minor should s/he require emergency medical treatment while attending CW art program or art activities. Tuition is non-refundable once the registered sessions / classes begin. I am responsible for notifying the school of any absence at least one day in advance. CW allows ONLY 2 absent credits to be used toward the next sign-up session. I understand that my child must be picked up after class in a timely manner. If I do not pick up my child within 15 minutes of class ending CW will contact the alternative contact to request my child be picked up. I agree to pick up my child when requested due to health or behavioral issues.

Student Information:

Student 2 Information:

Student 3 Information:

Student 4 Information:

Parent / Legal Guardian Information