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Registration Form
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Student Name
*
First
Last
Parent/Guardian Name
*
First
Last
Relationship to Student
*
Parent/Guardian Email
*
Parent/Guardian Phone Number
*
Emergency Contact Phone Number
*
Allergies(if any)
How did you hear about us?
*
Friend/Family
School/Library
FB/Instagram
Google
Other
Permission for Marketing Photos
*
I agree
I hereby grant permission to GROW 360 LLC to take photographs or videos of my child during classes and workshops for use in promotional materials, social media, and the business website. I understand that no personal identifying information (such as last names) will be published alongside these images without explicit consent.
Name Student us?
Assumption of Risk and Liability Waiver
*
I agree
I, the undersigned, am the parent or legal guardian of the minor child(ren) registered for GROW 360 programs. I understand that GROW 360 offers interdisciplinary, experiential learning activities. I acknowledge that participation in these programs involves inherent risks, which include, but are not limited to: Hands-on Crafting & Technology: Use of tools, scissors, low-voltage electrical components (batteries, LEDs, copper tape), and crafting supplies. Physical Movement: General active play, movement, and interaction with other children in a classroom or workshop environment. I voluntarily accept and assume all risks, known and unknown, associated with my child’s participation in these activities, including the risk of minor cuts, scrapes, burns, allergic reactions, or other personal injuries. In consideration for allowing my child to participate in GROW 360 programs, I, on behalf of myself, my child, and our heirs, executors, and administrators, hereby release, waive, discharge, and hold harmless GROW 360 LLC, its owners, instructors, employees, and venue partners from any and all liability, claims, demands, or causes of action arising out of negligence, personal injury, property damage, or loss suffered by my child in connection with their participation in GROW 360 activities.In the event of an illness or injury requiring urgent medical attention, I authorize GROW 360 staff to secure necessary medical treatment, including first aid, CPR, or transport to an emergency medical facility, if a parent or legal guardian cannot be reached immediately. I agree to assume full responsibility for all expenses and bills incurred for such medical treatment.
Class Registration T&Cs
*
I agree
I have read and agree to the GROW 360° Terms and Conditions. View our Terms & Conditions:
Terms & Conditions
.
Signature
*
Date
*
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