ALL SAINT'S CATHOLIC SCHOOL REGISTRATION FORM
Please Print and return
Classes
Pre-k-K: Mondays 2:15-2:45pm
$200 per Semester
1st -5th Grade: Mondays 3:00-3:50pm
$300 per Semester
Program lasts the duration of the school year.
Register and turn in payment at the front desk. PLEASE MAKE ALL CHECKS PAYABLE TO ALL SAINTS CATHOLIC SCHOOL
If you have questions, feel free to contact:
Phone: 561-252-1325
Email: thea4sd@gmail.com Remember to find us on Facebook!
Date: / /
Name of Participant (s):_____________________________________________________________
Parent Names:_______________________________________________________________________________
City: State: Zip:
Mobile Phone:
E-Mail:
Home Work Mobile
Alternate Phone:
Child Age:
Date of Birth: ____ / ____ / ____
Objective / Area(s) of Interest:
Anything we should be aware of?
Prior Injuries / Physical limitations:
I am aware that Aitken Martial Arts / The Alliance for Self-Defense posts pictures and video of classes and events online to promote the dojo and I give permission for them to do so should my children or myself be in the post by signing the waiver below.
Waiver of Injury:
I hereby release and agree to hold harmless the owners of the premises, participants, and representatives of all of them (Glen R. Aitken Jr., Aitken Martial Arts / Alliance for Self-defense instructors) from any loss, damage, or injury (including death) to my person, children, and property, in anyway resulting from or arising in connection with this or any cause whatsoever. I know the risk and damage to myself, children, and property while on said premises or while participating or assisting, so voluntary and in reliance, upon my own judgment and ability, I hereby assume all risk for loss, damage, or injury (including death) to myself, children, and property from any cause whatsoever.
___________________________________________________________
Signature of Parent or Guardian
