Different Directions Registration
Please fill out one form per child.  
Sign in to Google to save your progress. Learn more
Email *
You can register for all your Child's classes through one registration form.  Once you fill out the pertinent information, chose the classes you are interested in and you will be sent an invoice. If you are registering more than one child please fill out a separate form for each child. You will be sent and invoice within 48 hours business hours of the form being received by our administrator. If you would like information about individual classes and to speak to the teacher of a specific class you can send an enquiry from the link on the class page. That form will go directly to the teacher. Remember do not send money to individual teachers or before you receive an invoice
Students First and last name *
Students Date of Birth *
Students Age *
Students email (this will only be used for class purposes with permission from parent)
 Name: Parent or legal guardian 1 (Name of person completing the form) *
 Parent or guardian 1 email *
Parent or guardian 1 phone number *
 Parent or guardian 1 physical address *
Parent or guardian 2 full name ( If only one parent mark N/A) *
Parent or guardian 2 email ( If only one parent mark N/A) *
Parent or guardian 2 phone number ( If only one parent mark N/A) *
Parent or guardian 2 physical address if different from parent 1 ( If only one parent mark N/A) *
Emergency Contact Name: (Your emergency contact is someone other than a parent who can be called if neither parent is available in case of an emergency) *
Emergency Contact phone number: (Your emergency contact is someone other than a parent who can be called if neither parent is available in case of an emergency) *
Emergency Contact email: (Your emergency contact is someone other than a parent who can be called if neither parent is available in case of an emergency) *
Please list all students allergies and the severity of the allergy (if any) *
Does your child take any medications that we need to know about? This would be a medication that would effect your child's health or ability to attend class if the medication is not administered.  Please note if your child takes medication during the day that will need to be monitored. *
 Child's special needs (if any) *
Does your child have any siblings attending classes at Different Directions? Please list their first and last name if applicable *
Release & Indemnity

I understand and agree that participation in classes, events, field trips etc. hosted at and by Different Directions Inc. entails the possibility of physical injury. By signing this release form, I voluntarily assume all risk and responsibility for any such injury or accident or illness including any communicable diseases or viruses including Covid 19 which might occur to me or to my minor child before, during or after events, clubs, classes or field trips sanctioned by Different Directions Inc. I also release and indemnify Different Directions Inc., it’s employees, agents, volunteers and guest artist from any and all claims, demands, or causes or action whatsoever for any loss or damage, including, without limitation, personal injury, to me or my minor child, or for loss or damage to personal property, which may arise out of or in connection with participation in any classes, clubs, field trips or activities conducted by Different Directions Inc. I hereby voluntarily waive my right, and that of my heirs and assignees, to hold, Different Directions Inc. their officers, Advisors, employees, agents, volunteers or guest artists liable for any such damage, loss or injury. If I am signing this waiver for my minor child, I certify that I am the parent or legal guardian and have the right to waive these rights. With this registration I give permission for me, or my child, to be photographed or filmed for use in Different Directions Inc. publications, including, without limitation, newsletters, brochures, publication via website or other technological publications, videos, newspapers, radio, or television. No photos or film will be made available to anyone for any reason other than to promote Different Directions Inc. I understand that my email address will be used for communication regarding scheduling, announcements and information about my classes at Different Directions

I have read and accept the release and indemnity agreement. *
Absence & Proration Policy
If your child is not going to be in class please call or email the teacher so they know your child is not coming.  Different Directions does not have the ability to offer make-up days or prorate the class fee for sickness, traveling, acts of nature or human error outside of Different Directions. IE: storms, snow, hurricanes, train or bus trouble, terrorists, vacations, illness, or other unforeseen acts of nature or man, etc.  If a  teacher is sick they will either; provide a substitute, schedule a makeup day (if there is an open day available) or offer some compensation such as (but not exclusively) a discount for the next term. Different Directions programs and classes are not prorated for late registration.  Our prices are by the term and cannot be altered due to a student starting after the term begins.
I have read and understand the Absence and Proration policy *
Refund policy

There are no refunds for students who withdraw  after the term begins or are asked to leave a class for breaking our behavior policy.  Class expenses are based on the number of students we have at the beginning of the term.  All teachers and organizers are independent contractors at Different Directions are responsible for their own expenses including space fee, assistant fees and supplies. Once a class has begun, the money paid for the class has been distributed to space, teachers, assistants (if needed) and materials. These non refundable fees have been paid under the agreement that your child will be in attendance for the term. Once the term has begun the spot your child holds cannot be replaced.

I have read and understand the refund policy *
Required
Behavior policy

Different Directions is a safe, nurturing space for children and their families to find connections. We are dedicated to respecting our members, young people, teachers, planet and community. Bigoted, discriminatory,  aggressive, subversive, threatening behavior will not be tolerated. Such behavior is subject to immediate termination and expulsion from Different Directions classes, activities and events.  The ultimate decision will be made by the Operating Director and board of directors of Different Directions Inc.  I understand that myself, child and any guest I bring into Different Directions, will not do intentional damage to the physical plant of Different Directions Inc, or any space while attending a Different Directions class, activity, field trip, or function. I understand that if my child, myself or any of my family or guests actions are aggressive, disrespectful or damaging in any way I may be asked to terminate all activities at Different Directions. Those actions include but not exclusively pertain to, participating in bigoted, discriminatory, misogynistic, threatening  behavior that targets students, parents, teachers, organizers or guests; for racial, gender, physical, cultural or personal differences.

No Weapons of any kind are allowed at Different Directions Inc. That includes concealed weapons for adults, unless you are an officer of the court and have official business at Different Directions., toy guns (bebe guns, paintball, laser etc.) knives, razors, or anything that the administration of Different Directions deems threatening.  If you or your child brings a weapon including a toy weapon into Different Directions they will be asked to leave immediately and could be expelled permanently from Different Directions.

There is to be no use of illegal drugs or alcohol by students at Different Directions. Anyone one discovered using, or selling drugs or alcohol illegally will be face with the possibility of immediate expulsion.

I have read and understand the behavior policy *
Public Health Policy

The Different Directions Inc. The Board of Directors in conjunction with our host space The Actor’s Temple has implemented the following guidelines for all students and families to follow this while taking classes on campus and attending any in person activities organized by Different Directions Inc. or its agents. All students must have registration from on file filled out by their parent or legal guardian.

Students, Parents, Caregivers and teachers will conduct daily medical self-evaluation. Anyone who experiences symptoms of COVID (or ANY COMMUNICABLE DISEASE OR VIRUS) symptoms must stay home. If your child has vomited, experienced diarrhea, or had a fever within 24 hours keep your child home. We will send any child home who has experienced these symptoms within 24 hours. DO NOT SEND YOUR CHILD SICK TO CLASSES.


I have read, understand and agree to comply with the public health policy
Clear selection
In House Policies

Classes and activities at Different Directions are designed for cooperative, socially holistic and community minded experiences. Our curriculum is based in student participation and group work. Outside toys, games, etc. are a distraction for the students.  They tend to create solitary antisocial activities or clicks that exclude students. Students are not allowed to bring outside toys, stuffed animals, trading cards or electronic devices to share or play during classes, recess or breaks. While personal toys are great they need to be shared at the play dates you make for your child outside of class. If a child brings a personal toy they will be asked to put it away until dismissal.

Exception: Some children need help with anxiety and depression. If your child has a special need where there is an item that helps sooth them if they are feeling overwhelmed and anxious please communicate with us and we will be prepared. Do not use this exception as an excuse to let your child bring their favorite stuffy to class. This is if there is a genuine need and will be arranged in advance. We ask that the comfort item only be brought out when necessary.

Personal cell phones used to contact parents or caregivers or for use in the classroom for work related activities are allowed, but must be used outside of class for contacting parents or with the teacher's permission for class work. Younger students will be asked to keep their phones in their bags during class.

The expectation is all phones will be put away unless they are being used for class work. Teenagers who use their phones during class for non-class related work that has not been approved by a teacher will be asked to put their phone away. If they continue to use the phone for personal use during class they will be asked to give up the phone and put it in a basket until the class is over.  There may be times when all students in a class will be asked to put their phones away or in a basket for the duration of class.

Know your child's schedule please do not text or call them during class, or expect them to return your call during class time. They will have time between each classes to make and reply to personal calls and messages.

I have read and understand the in house policies. *
The Daily Routine

Different Directions is a small space and we are trying to keep as much space available for our students and staff as possible. There is no congregating for adults and caregivers, in the lobby of Different Directions Inc. or the Actor’s Temple. (We are only allowed on the 3rd floor of the Actor's Temple in the space we rent. Please do not use any space outside of our studio in the building) There are parks, coffee shops, and public libraries in the neighborhood for parents to wait for their children. For older students who come to Different Directions on their own, you are welcome to enter the building and go upstairs before entering class. For students who need to be dropped off by a parent or guardian you will be given instructions on drop off and pick up procedures before the first day of class.

Younger students (6-13) who are signed up for multiple (elementary and middle school) classes will be escorted from pick up, to classes, to Down Time Actives and to drop off locations by a Different  Directions teacher or staff member. If you would like your child to take morning and afternoon classes please sign them up for Down Time.  Students at Different Directions are supervised at all times.

High School students are welcome to come and go on their own and use the student lounge at Different Directions.  There will be an adult teacher or staff member at Different Directions at all times during our daily open hours.

Please use the side door to the right. That is our entrance.  Ring the bell once and give time for someone to let you in. Do not use the double front doors even if they are wide open. The front door is for the Actors and the temple members.

I have read and understand the daily routine. *
All children 11 and under must be picked up by a parent or guardian named on file. Chose your child's dismissal plan for your 12 and above child. *
Please write the name of the people other than the parent or guardians, who have permission to pick up your child. If this person changes or you add someone else you must send written email documentation before the person arrives to pick up your child. *
Monday (On Campus) Please indicate what classes you are interested in.
Tuesday  (On Campus) Classes - Please indicate which classes you are interested in.
Wednesday On Campus Classes - Please indicate which classes you are interested in.
Thursday On Campus Classes- Please indicate which classes you are interested in.
Friday On Campus Classes - Please indicate which classes you are interested in.
Please confirm you are the legal guardian of the child named in the registration form *
Registration Fee
There is a $50 yearly registration fee per on campus student. You will be sent an invoice once you submit your registration form. These are yearly classes. The fee is broken down into three payments. Invoices will be sent before each term. Payment is dues before the first class of each term.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms