C.H.O.I.C.E HOMESCHOOL CO-OP REGISTRATION SPRING SEMESTER 2015 2/2/15 – 4/27/15 (End-of-Semester Program 5/4/15, 6:30pm) Student(s) Name(s), Including Age and Grade: ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Parent/Guardian Name: _____________________________________________________________ Address: _________________________________________________________________________ E-Mail:___________________________________________________________________________ Phone: __________________________________________________________________________ Any known allergies: _______________________________________________________________ Anything that would be relevant to be known concerning your child: ________________________________________________________________________________ ________________________________________________________________________________ Is this your family’s first time to participate in C.H.O.I.C.E?  Yes  No Dress Guidelines I and my children agree to adhere to the following standards of dress while attending CHOICE classes and /or events:    Please dress with modesty, therefore avoiding low-cut tops, midriff tops, miniskirts, or short shorts. More mature individuals should avoid tight-fitting clothing, (unless it is, of course, appropriate during dance or exercise classes). Also, please avoid T-shirts with inappropriate advertising or slogans.  I agree with the CHOICE Dress Guidelines listed above.  I do not agree with the CHOICE Dress Guidelines listed above. C.H.O.I.C.E. HOMESCHOOL CO-OP WAIVER & RELEASE Our leadership team is comprised of members within our organization who have volunteered their time to plan, organize, coordinate, and lead our group and its events. In an effort to hold harmless those volunteer members in leadership and those volunteer members who come forward to help organize events, parties, etc. for this co-op, we ask that ALL MEMBERS acknowledge that they are responsible for their selves, their children and their guests AT ALL TIMES.  Upon execution of this form, I (as agent for myself and family members) the undersigned parent or guardian of all minor children participating in the co-op and/or that might be present under my care, do hereby unconditionally release, waive and discharge my right, whether by contract or under operation of law to file cause of action(s) or claim(s) which I may have against C.H.O.I.C.E. CO-OP (Christian Homeschoolers Organized In Cooperative Education) and/or First Christian Church of Newburgh, their leaders, agents, sponsors, volunteers, and any members now or in the future.  I do hereby assume any and all risk of loss, liability, damage, or costs, including bodily injury or property damage that may incur arising out of or in connection to my family’s participation and/or utilization of this co-op and the facilities, including claims that are known or unknown, foreseen or unforeseen, future or contingent.  I fully understand the terms set forth in this form, and I hereby waive my rights freely and voluntarily without any inducement, assurance, or guarantee being made to me to the fullest extent allowed by law. Parent/Guardian Signature:___________________________________________________________ Print Name: ______________________________________________________________________ Date: ________________________________________