Registration Date: From February 2009 to June 2009*
(We are following the Fulton County School Year calendar)
Program Starting Date: May 25th, 2009*
(Until the end of Fulton county school summer vacation date)
Daily Schedule: 8:30am – 6:30pm
Monday through Friday
(You can drop off students at any time after 8am.
Please No later than 6:40pm for pick ups.)
-Piano and violin practice with supervisors
-Reading and outdoor activities.
-Shine Friday is our field trip day.
-Ballet, Chinese folk dance, Drawing and Chess
-Chinese story, movie and learning Chinese poems
Included in tuition
-From June 1 to July 17, there are three session for Chinese Drama Program (including learning Chinese songs, Chinese language practice, acting, art craft etc.)
(If your kids don’t want to join our Chinese Drama Program at that session, we still have regular camp program for you.)
· We offer lunch for our students. ($4.00 per day)
Tuition: $140/week
$15 Non-Refundable Registration Fee per Family
T.M. Culture & Education Arts Center
10750 Medlock Bridge Road, Johns Creek, Ga. 30097
Yr. 09
Registration Form
Date:__________
Student Name:_________________________________
Grade: _______________________________________
Age: ______ Birth Day: __________ Gender: ________
Parents/Guardians Name: _______________________
Home Address: _______________________
_______________________
Home Phone Number: _______________________
Emergency Phone: _______________________
Cell Phone Number: _______________________
Work Phone Number: _______________________
E-Mail Address: _______________________
Please print out clearly
School: _______________________
County: _______________________
APPLING FOR CHINESE DRAMA PROGRAM:
Fee is included within your weekly fee.
Non-Refundable Deposit: $140 (Make all check payable to: TMCAC)
$15 Non-Refundable Registration Fee apply to Each Family
X________________________________________________ __________
Signature or Signature of Parent or Legal Guardian Date
School Officer Use only Registration Fee: Paid in Full ____________Date:_____________________ Deposit Amount: __________________ Check #: _____________ Date: _____________________ Assigned Week From: __________________ to: ____________________ Total Weeks: ____________
意外事故人身伤害责任豁免书
NOTICE TO ALL PERSONS PARTICIPATING IN ALL DANCE CALSSES, ATHLETIC, AFTER SCHOOL PROGRAM, RECREATIONAL AND ADVENTURE PROGRAMS, WORKSHOPS AND OTHER ACTIVITES INVOLVING RISK OF BODILY OR PERSONAL INJURY AND/OR PROPERTY DAMAGE
Many programs, Activities and workshops involve substantial risks of injury, property damage and other dangers associated with participation in such activities. Dangers peculiar to such activities include. But are not limited to: Hypothermia, broken bones, strains, sprains, Cuts, bruises, drowning, concussion, heart attack and heat exhaustion.
Each participant in the activity of T.M. Culture & Arts Center and its Atlanta Professional Dance School classes. Should realize that there are inherent risks. Hazards and dangers involved including the training, preparation for and travel to and from such activities. It is the responsibility of each participant to engage only in those activities and programs for which he/she has the prerequisite skills, qualifications, preparation and training. THIS PROVISION APPLIES TO ALL THE CLASSES OFFERED BY THE T.M.C.A.C AND SCHOOL IN ALL LOCATIONS.
The Academy dose not warrant or guarantee in any respect the competency or mental or physical condition of any trip leader, vehicle driver, instructor, or individual participant in any athletic, recreational, adventure program or workshop.
Initials____________ Date_____________
ACKNOWLEDGMENT AND ASSUMPTION OF RISK
I have read the above notice carefully and acknowledged receipt of a copy thereof. In consideration of the benefits received. I hereby assume all risks of damages or injury, including death that I may sustain while participating in or as a result of, or in any way growing out of any aforementioned activity or program, or in travel to and from such activity.
Further I hereby certify that I am covered by an accident and health insurance policy that will be in effect at any time I am participating in the Academy related activities or programs.
Initials____________ Date_____________
I am aware of that Ballet training and stretching exercises associated with it place unusual stress on the body and carry with them the risk of physical injury. On behalf of my child and myself ( and if I am no longer a minor, on my own behalf), I assume the risk and agree that the T.M. Culture & Arts Center and its Atlanta Professional Dance school shall not be liable or any of its related functions. It is also understood that dance instruction involves kinetic corrections that may include physically touching the student as part of regular class work and rehearsals.
My Child or my-self is covered under the following health insurance company and plan:
RELEASE AND WAIVER OF LIABILITY AND COVENANT NOT TO SUE
(READ CAREFULLY BEFORE SIGNING)
The undersigned hereby acknowledges that participation in risk oriented programs and activities involves an inherent risk of physical injury and assumes all risks. The undersigned hereby agrees that sole consideration of the T.M. Culture & arts Center and its Atlanta Professional Dance School allowing the undersigned to participate in these programs and activities.
Name of Student (please print clearly)
____________________________________________________________________
Name of Parent or Legal Guardian (please print clearly)
Signature or Signature of Parent or Legal Guardian DATE
10750 Medlock Bridge road, Johns Creek, GA. 30097 Tel: 678-557-8299 or 678-557-0260
Tel: 678-557-0260,678-557-8299or404-723-8123
T.M. Culture & Arts Center
10750 Medlock Bridge Road, Johns Creek, Ga. 30097
info@tmcultureartscenter.com