Snacks: If you will be sending your child’s snack, please be sure that your child’s lunch is clearly marked with your child’s name and last name. Glass bottles/containers are not allowed
Payments: Tuition may be paid by cash, credit card or through the website. Must be expected by first day of class.
Camp Fees:• Monthly $150.00 Mon.-Fri Please select two days and times 2:00pm to 4:30 pm or 3:30-6:00 pm
Contact InformationFor more information, contact Tina Collier, Program Director at209-679-1003 Emails: email@example.com
REQUIRES PARENT’S SIGNATURE:You have our permission, in the event of an emergency and in case we are unavailable, to authorize any physician, nurse practitioner or medical personnel to examine, interview, test and if necessary treat my child as they deem advisable
I hereby give permission to Modesto Robotics and Technology Inc., to photograph and/or videotape the child for educational or promotional purposes.
PARENT STATEMENTI hereby state that my child is in good mentaland physical health condition to participate in the activities provided by Modesto Robotics and Technology Inc., including but not limited to all aspects of cheerleading, tumbling, and dance training, baseball,basketball, soccer and or competition. I am fully aware that any activity involving motion, height or athletic activity creates the possibility of serious injury. I hereby release Modesto Robotics and Technology Inc.,its employee and its staff from liability to the above named athlete, of the person claiming through him/her, arising from injury to the person or property of the above named athlete occurring in the premises ofModesto Robotics and Technology Inc., including any event sponsored or sanctioned by Modesto Robotics and Technology Inc., and or travel to and from such activities. I understand that Modesto Robotics and Technology Inc. has the right to deny admittance to any student not meeting the standards of the program as it sees fit. I also agree not to hold these parties responsible in the event that my son/daughter/child engages in inappropriate conduct (including, but not limited to disruptiveor volatile behavior in or out of camp, etc.) or becomes involved in any activity or with any persons not associated with Modesto Robotics and Technology INC., or its scheduled program and that Modesto Robotics and Technology Inc., has the right to send him/her home for inappropriate conduct. I further attest that the information contained in this application is correct to the best of my knowledge. In addition, I have agreed to the policy and fee statement and agree to comply.