SKETCH Registration Form
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A ministry of: New Hope Christian Fellowship 292 Route 101, Bedford, NH 03110 603-345-7203 contact: [email protected] www.SKETCHartProgram.blogspot.com Parent/Guardian Name: ___________________________________________________________________ Address: _______________________________________________________________________________ City: __________________________________ State: ____________ Zip:____________ Home Phone:_______________________________ Cell Phone:_____________________________ Email: _________________________________________________________________________________ Please explain any medical problems, allergies, learning disabilit ies, etc. that we should be aware of on the reverse side of the page: A one time fee of $35 per family (not per student) is payable at time of registration This is used to cover the cost of our community service projects, and printed materials. Please note that this does not include art supplies. Registration is accepted on a first-come , first-served basis. Payment should be made out to New Hope Christian Fellowship and is due in full with this completed application before the first day of class. Waiver : As the legal parent or guardian, in consideration of New Hope Christian Fellowship’s acceptance of my enrollment , I release and hold harmless New Hope Christian Fellowship, its staff and members from any and all liabilities, claims, demands and causes of action whatsoever , arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises of New Hope Christian Fellowship.. I understand that New Hope Christian Fellowship administrators have the right to dismiss any student at their discret ion, and that I will not be entitled to a refund of tuition. I understand that I am required to supervise my child/ren at all times. By signing this form, I acknowledge that I have read and understand the above policies. This agreement is a legally binding instrument when signed by the registrant. I understand that the non-refundable tuition is due in full with the completed application Parent Signature: _______________________________________________ Date: Photo Release: SKETCH makes it a policy to avoid posting any pictures of children’s faces. Artwork, however , is regularly photographed as an integral part of the course, and therefore the signing of a photo release is necessary for registration. I grant full permission to New Hope Christian Fellowship to use any photographs or videos of art or classroom activities for community service and promotional purposes. Parent Signature: _______________________________________________ Date: 2014/2015 Class Registration (Only 1 form per family please)
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SKETCH 2014/2015
Transcript of SKETCH Registration Form
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A ministry of:
New Hope Christian Fellowship 292 Route 101, Bedford, NH 03110 603-345-7203 contact: [email protected] ! www.SKETCHartProgram.blogspot.com
STUDENT NAME: AGE:!!!!!!!!
! !!!!Parent/Guardian Name: ___________________________________________________________________ Address: _______________________________________________________________________________ City: __________________________________ State: ____________ Zip:____________ Home Phone:_______________________________ Cell Phone:_____________________________ Email: _________________________________________________________________________________ Please explain any medical problems, allergies, learning disabilities, etc. that we should be aware of on the reverse side of the page: !A one time fee of $35 per family (not per student) is payable at time of registration This is used to cover the cost of our community service projects, and printed materials. Please note that this does not include art supplies. !Registration is accepted on a first-come, first-served basis. Payment should be made out to New Hope Christian Fellowship and is due in full with this completed application before the first day of class. !Waiver: As the legal parent or guardian, in consideration of New Hope Christian Fellowships acceptance of my enrollment, I release and hold harmless New Hope Christian Fellowship, its staff and members from any and all liabilities, claims, demands and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises of New Hope Christian Fellowship.. I understand that New Hope Christian Fellowship administrators have the right to dismiss any student at their discretion, and that I will not be entitled to a refund of tuition. I understand that I am required to supervise my child/ren at all times. By signing this form, I acknowledge that I have read and understand the above policies. This agreement is a legally binding instrument when signed by the registrant. I understand that the non-refundable tuition is due in full with the completed application !Parent Signature: _______________________________________________ Date: ________________ !Photo Release: SKETCH makes it a policy to avoid posting any pictures of childrens faces. Artwork, however, is regularly photographed as an integral part of the course, and therefore the signing of a photo release is necessary for registration. !I grant full permission to New Hope Christian Fellowship to use any photographs or videos of art or classroom activities for community service and promotional purposes. ! !Parent Signature: _______________________________________________ Date: ________________
2014/2015 Class Registration!
(Only 1 form per family please)
