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Seven Arts Center HOME SCHOOL Registration
Welcome to the Seven Arts Center Family!
Referral Information
How did you hear about us?
Scheduled Student (s) Start Date:
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YYYY
Parent/ Instructor Information
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Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Phone
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Email
*
Emergency Contact Name/ Address/ Phone Number
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Student Information
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First
Last
Student Gender*
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School*
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Grade Level
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Birth Date
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MM
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DD
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YYYY
Medications*
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Disabilities / Special Needs / Allergies*
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Authorized Pick Up Name/ Relationship to Parent:
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Authorized Pick Up Name/ Relationship to Parent:
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Authorized Pick Up Name/ Relationship to Parent:
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Name Of Program (Summer Camp/Spring Break/ After School Program)
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Seven Arts Center (SAC) agrees to provide child care based on the program enrolled in..
SAC does not administer medication unless an Extreme Allergy Form in completed and on file.
My child will not be allowed to enter or leave the facility without being escorted by the parent(s), person authorized by parent(s), or facility personnel.
I acknowledge it is my responsibility to keep my child's records current to reflect any significant changes as they occur, e.g. telephone numbers, work location, emergency contacts, child's physician, child's health status, and immunization records, etc.
The facility agrees to keep me informed of any incidents, including illnesses, injuries, adverse reactions to medications, and exposure to communicable diseases, which include my child.
SAC agrees to obtain written authorization from me before my child participates in routine transportation, field trips, special activities away from the facility, and water-related activities occurring in water that is more than two feet deep.
I have read and agree to abide by the SAC Parent Handbook found at www.sevenartscenter.com. It is my responsibility to keep up with all policy updates.
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I've read the above and agree.
Payment Policies
All tuition payments are due on the Friday or the last business day before the week of service. A $25 late fee will be applied to ALL payments made after close of business on Friday. No balances can be carried over to the following week. Children may not be accepted into the center if fees have not been paid. A $65 re-enrollment fee will be required for readmission.
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I've read the above and agree.
Medical Authorization
Should my child suffer an injury or illness while in the care of SAC and the facility is unable to contact me (us), SAC shall be authorized to secure such medical attention and care for the child as may be necessary. I (We) agree to keep the facility informed of changes in telephone numbers, etc. where I can be reached. SAC agrees to keep me informed of any incidents requiring professional medical attention involving my child.
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I've read the above and agree.
Release of Liability
SAC is not responsible for items brought into the center or school, if left behind by children or parents i.e. ipods, hand held games, cell phones, cd's, dvd's, etc. We do not recommend sending expensive items with children.
This agreement officially excludes Seven Arts Center and all subsidiaries of GA of any liabilities resulting from any accidents or injuries resulting from you and/or your child’s participation in any class, camp, rehearsal, performance, and event itself, and travel to and from any events or enrichment outings and activities.
Furthermore, it is understood that any medical expense incurred due to a Seven Arts Center artistic or enrichment event, or social is the sole responsibility of the participant in the event. This is inclusive of pre-existing conditions, which may become aggravated due to your or your child’s participation in the artistic event.
It is also understood that no legal action will be brought against Seven Arts Center or any subsidiaries or authorized personnel by you or your child because of any matter related directly to you or your child’s participation in any practice session, social event, or artistic event held.
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I've read the above and agree.
I do hereby give consent to have my child photographed and/or videotaped by Seven Arts Center and/or photographers, videographers, television/motion pictures, magazines, newspapers, and other media at Seven Arts Center events and events of its performance Clients to be used for the purpose of public relations, promotional materials, advertising for new students to join, and/or fundraisers (picture packages including group shots) for Seven Arts Center.
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I do give consent
I do not give consent
Signature
I give my permission for my child to participate in the Seven Arts Center (SAC) Camp Program.I hereby understand the above application and would like my child to attend Seven Arts Center (SAC) Programs. I/We have filled out all of the information to the best of my/our knowledge
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Clear
NOTICE OF EXEMPTION
I understand this program is not licensed by Bright from the Start: Georgia Department of Early Care & is not required to be licensed. Bright From the Start does not regulate or routinely inspect this program.
For details about the exemption approved for this program, please visit www.decal.ga.gov
Questions or Concerns