Russian Language Classes
Class registration  
Classroom located in Shawnee KS 66216 or SKYPE (classes for adults are set up to be taken in person and/or online)
Contact us at (913) 744-7011 or info@ruheritage.org
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Student's Name in English *
Student's Name in Russian (for children)
Student's date of birth *
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Guradian name (for children under 18)
Email *
Phone number *
What evenings are you available for classes? *
Required
Dietary restrictions *
I allow Russian Heritage Society/Talent Ville Club to take pictures/videos of me and/or my children and use this material on their website/Facebook/Youtube etc... *
The Russian Heritage Society (RHS) has put in place protective measures to reduce the spread of COVID-19; however, RHS cannot guarantee that you or your child(ren) will not become infected with COVID-19. Further, attending activities on the campuses of RHS could increase your risk and your child(ren)’s risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and on behalf of myself, my child(ren), my and spouse/co-parent of child(ren) voluntarily assume the risk that my child(ren) and I, and any member of my family, may be exposed to or infected by COVID-19 by attending activities on RHS campuses and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 while on RHS campuses may result from the actions, omissions, or negligence of myself and others, including, but not limited to, RHS employees, agents and representatives, volunteers, program participants and their families and/or any other individual who may be present upon school property or in attendance at any school activity. On my behalf, and on behalf of my children and/or members of my family, I will advance no claim and I hereby release, covenant not to sue, discharge, defend, indemnify and hold harmless the RHS, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of RHS, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any RHS activity. *
I understand that I will have to pay semester tuition  upon arrival or prior ro the first class *
Required
Date *
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Signature *
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