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Arts After School Program

After School Program

Student Information

First Name*

Answer Required

Last Name*

Answer Required

Grade / Teacher Name*

Answer Required

Date of Birth*

Answer Required

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Parent Information

Parent / Guardian Name*

Answer Required

Parent / Guardian Email*

Answer Required

Parent / Guardian Phone*

Number Required

Emergency Contact Name

Answer Required

Emergency Contact Phone Number

Answer Required

Who will be picking up your child?*

Answer Required

Note: If you need to enroll more than 1 child, you will need to submit another form.

Discipline, Code of Ethics and Sportsmanship

Students are required to keep up their grades and behave in an Islamically acceptable manner in and out of school. This includes but is not limited to verbal and physical intimidation, inappropriate language and absences or tardiness for games or practice. Failure to do so will result in consequences decided by the coaches or their removal from the program.

It shall be the goal of Sunrise Academy to teach, foster and promote the sport of soccer. It is the intent of this program to provide participants with an opportunity to enjoy sports and improve their playing skills in addition to instilling Islamic values while working together as a team. Winning must never come at the expense of these fundamental objectives.

If Child is not behaving properly after 3 warnings to child/parent from coach/staff, we reserve right to remove the child from the program and no refund will be provided.

Discipline policy*

Answer Required

I accept the discipline policy above

TERMS OF PARTICIPATION

I, the parent/guardian of the registrant, understand and accept the condition that neither Sunrise Academy nor anyone associated with Sunrise Academy will assume any responsibility for accidents and medical or dental expenses incurred as a result of participation in the soccer /SAP programs. I certify that the applicant is in good health and able to participate in physical activity. In the event of injury, Sunrise Academy has my permission to obtain medical care. All the dates and times mentioned above may change in case of any staffing changes or some unseen circumstances.

Term of participation*

Answer Required

I accept the terms of participation above.

Any Comments/Suggestions*

Answer Required

*Parent/Guardian Signature

Answer Required

Refund policy*

Answer Required

Program Fees are not refundable

Program 1*

Price: $125.00

Confirmation Email

Confirmation Email *

Email Required