STAC 2019-20 Family Registration

STAC 2019-20 Family Registration

Family Information
Hello! Who is the primary contact for your family? *

First Name Last Name
Email *
Please use the same email for all STAC correspondence

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

Area Code Phone Number
Children: Please list all of them attending STAC! *
Please explain medical concerns listed above.
Does anyone covered by this registration have medical issues or allergies that STAC needs to be aware of? For example, if anyone carries an inhaler or Epi-Pen, list that here. Please be specific.
I am the parent/ legal guardian of all the above children *

Yes No
Additional family who may be on STAC campus (significant others, grandparents, nanny)
Emergency Contact not on campus *

Name Phone
I am a teacher at STAC/ PCL *

Yes No
Is your family new to STAC? *

Yes No
Is there anything else STAC may need to know about your family?
Community Participation

The details and guidelines for our community. All STAC Participants 12 and older must read and sign the below Participation Agreement.
Space, Time, and Community, Inc. (STAC) is a Georgia domestic nonprofit organization and tax-exempt, charitable organization 501(c)3 that welcomes families of all types and beliefs. We believe in the importance of free play and free time to build relationships, and we offer classes and activities of all kinds, formal and informal, child-led and adult-led.
Teachers are not employees of STAC *
General Policies *
Illness Policy *
Campus Allergies *
Supervision on Campus *
Behavior Agreement *
I permit STAC's use of any photos, slides, films or sketches of me or my minor(s) taken during any STAC activity for publicity, advertising, promotion or other commercial purposes without further consideration. Please get your children's consent as well. We don't want to use pictures of them without their explicit consent. If only specific members of your family do not want us to use photos of them, please list their names in the other box. *

Yes, you may use photos of any member of our family. No, do not use photos of any member of our family.
Administrative Fees *
Acknowledgement *
Parent Signature. *

I have carefully read this agreement, fully understand its contents, and sign it voluntarily with the intent of binding myself. Clear
12 and Older Signature. (STAC youth 12 and older MUST read, understand, and sign. Do not move forward unless your child actually signs this.)

I have carefully read this agreement, fully understand its contents, and sign it voluntarily with the intent of binding myself. Clear
12 and Older Signature.

I have carefully read this agreement, fully understand its contents, and sign it voluntarily with the intent of binding myself. Clear
Click here to join our private STAC Community Group on Facebook. A moderator will approve you as soon as we can.This is the best way to get updates, see pictures of STAC classes and people, and find out about upcoming events.
I'd like to pay by the following method:

Send me an invoice PayPal
Thank you for joining STAC! We are going to have such a good year together!

You will receive a copy of your signed agreement by email so that you can keep a list of all the STAC policies for the future.

If you requested an invoice, we will send you an email with your invoice very soon (they are created as they come in by our hard-working finance committee, so we appreciate your patience!). You can pay your invoice online via bank transfer, or you can bring cash or check to a member of the Finance Committee or Board of Directors.
Pay for Registration with PayPal

STAC Annual Registration Fee $ 120.00

Total $ 0.00
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STAC 2019-20 Family Registration

Community Participation