Shine on Stage at Maunawili- REGISTRATION FORM Shine on Stage Classes-Maunawili Spring 2020 LET'S SHINE!Please fill out the registration form below. Shine classes will meet THURSDAY afternoons at Maunawili. ***** 1/30, 2/6, 2/13, 2/20, 2/27, 3/5, 3/12, 4/2, 4/9, 4/16, 4/23**** *****TOTAL CLASSES: 11.***** TOTAL COST: $198Student Name* First Last Grade* Classroom Teacher* Classroom Number* Is your child enrolled in A+?* YES NO Parent/Guardian* First Last Parent/Guardian Phone*Parent/Guardian Email* Enter Email Confirm Email Shine on Stage Classes*THURSDAY DATES: 1/30, 2/6, 2/13, 2/20, 2/27, 3/5, 3/12, 4/2, 4/9, 4/16, 4/23 TOTAL CLASSES: 11 K-2nd Grade Class from 2:05pm-3:05pm 3-6th Grade Class from 3:10pm-4:10pm Please note that students in the 3:10pm class who are not enrolled in A+ MUST be supervised by a parent or guardian after school gets out. Thank you!Payment Type* Credit Card Check Cash Paypal: www.paypal.me/sarahjhalford/198 Credit Card*Card Details Cardholder Name Payment is due by first class. Please bring check to class or make checks payable to: Sarah Halford PO Box 1397 Kailua, HI 96734 Paypal users can follow this link: www.paypal.me/sarahjhalford/198Total $0.00 Pick Up*Please select a pick up option for your child after class ends. My child should go back to A+ My child should stay at the classroom- I will come and pick them up there My child can be released from the classroom to walk to a pick up area. PLEASE NOTE: Children who are released from the classroom will not be under supervision. Mahalo.Liability Waiver*I allow my student to participate in classes and do herby release, forever discharge and agree to hold harmless Shine on Stage, its owners, directors, employees, volunteers from any and all liability, claims or demands for accidental personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may incurred by the student while involved in the classes. Furthermore, I, on behalf of my minor student, herby assume all risk of accidental personal injury, sickness, death, damage and expense as a result of participation in recreational actives involved therein. Yes No Photo Release*I hereby give Shine on Stage and Sarah Halford the permission to use my child’s photograph publicly to promote the Shine on Stage Performing Arts Program. I understand that the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use. I agree to allow my student to be in photos I agree LOOKING FORWARD TO SHINING WITH YOU! Δ