Emergency Contact (Name and Number) מי להתקשר במצב חירום
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Email מייל
Your answer
Child's Age and Grade גיל וכיתה
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Which chug(im) are you registering for?
Please note the times and location of each chug.
Art אמנות Open Studio
Clear selection
English אנגלית
Payment Method - We will email you an invoice, but please tell us how you prefer to pay. איך אתם רוצים לשלם?
Clear selection
Allergies: אלרגיות Please list any and all food or other allergies & treatment (Epi-Pen, etc)
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Health, behavior, medications, etc. בריאות, התנהגות וכולי
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I give my permission for my child to join in Open Studio activities and release the Open Studio and its staff from responsibility in the event that my child is injured. I understand that I am responsible for all medical related expenses and transportation resulting from this injury. (Please initial)
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Policies: Chugim run from Sept 22-mid June. Prices are on an annual basis, broken into monthly payments for convenience. There will be approximately 30 sessions of each chug throughout the year, we basically follow the school calendar. Withdrawals mid-year will entail a one-month fee. Missed sessions (by child) are not refunded. Please initial.