St. Giles School Session 1 Registration Form 2017

"You're a good man charlie brown"

september 18 - December 1

11 weeks Mondays & Fridays

 

ADDITIONAL / EXTENDED REHEARSALS

no school: 9/22 on stage 9:00 A.M. - Noon

institute days school ends at 11:40 A.M. on stage 11:45 - 5:00: *10/5, *10/6

extended rehearsals on stage 3:15 - 7:00 P.M.: *11/27, *11/29, *11/30 load in

at IAA: TBA

 

show day: friday *12/1 10:00 A.M. show for school, 6:00 P.M. show for parents and friends

pRICE: [ $385 ] Session registration between august 27 - september 12

[ $405 ] session late registration after september 13

* equals days where meals are being purchased [ $5 ] per student charged separately

Student Details *
Student Details
Student Phone
Student Phone
Student Cell
Parent / Guardian Details *
Parent / Guardian Details
Please use Full U.S. Mailing Address
Parent / Guardian Phone *
Parent / Guardian Phone
Home / Cell
Parent / Guardian Phone
Parent / Guardian Phone
Work
Alternate Emergency Details *
Alternate Emergency Details
Alternate Emergency Phone *
Alternate Emergency Phone
Relation to Student
My Child Can Walk Home *
My Child Attends Kids Klub *
Days at Kids Klub *
Are we to Dispense Medications *
All payments due before session starts. A $15 fee will be charged for returned checks or declined credit cards. Refunds given at the discretion of the Executive Director.
NUMBERS ONLY no spaces, slashes, dashes etc. [ e.g. 2938394856731239 ]
NUMBERS ONLY no spaces, dashes, slashes etc. [ e.g. 0517 ]
Security Code on back of card
Billing Zip Code
Sign
Processing date
( 1. ) By signing this form I hereby state that I hold harmless all members, and their assigns, of Infinity Arts Academy LLC and any other parties involved in the organization and administration of Infinity Arts Academy LLC, from any liability as a result of any injury or sickness sustained in or around the Infinity Arts Academy LLC location. ( 2. ) I grant permission for any and all photographs and videos taken at any Infinity Arts Academy LLC class, rehearsal, performance, or event to be used by Infinity Arts Academy LLC or its representatives for marketing purposes. I understand that no personal information will be associated with any photograph or video without my consent and that no compensation is offered. ( 3. ) I the signed parent and or legal guardian declare that the information and medical/behavioral details on this registration form are correct to the best of my knowledge and I hereby apply for an enrollment space at Infinity Arts Academy LLC as indicated below for my child or ward. I understand that Infinity Arts Academy LLC reserves the right to restrict admission at its own discretion. ( 4. ) I understand that all information supplied on this form will be kept strictly confidential and that Infinity Arts Academy LLC will never divulge any personal information to a third party without my consent. ( 5. ) DISCIPLINE POLICY PROCEDURE: Infinity Arts Academy uses a 3 step discipline process when handling behavior issues: (1) The child is given a firm, clear warning that the behavior is unacceptable. (2) If the behavior continues the parent s are called in to discuss the situation. (3) If after meeting with the parents the behavior continues, the child is removed from our program. I understand and agree with the Discipline Policy. ( 6. ) TARDINESS POLICY: Any parent who is more than 15 minutes late picking up their child, 3 times will be charged an After Care fee of $10 per day thereafter. I understand and agree with the Tardiness Policy.