GOOD DEEDS ACADEMY

Return Student Registration Form

Students Full Name Grade Tuition $290 Administration Fee $20 Textbook
Traditional - $20 CFL - $30

Extra-curriculum Class/Fee

Subtotal

Total . Administration Fee waived for those students that have pre-registered. Contact Information Update? No Yes, _________________________________________________________________ 100
GDA is a not-for-profit organization, whose operation completely depends on volunteer and goodwill work from its staff and parents. It is the obligation for every GDA family, except GDA teacher's and GDA staff's families, to take the duty of serving our school at least once a year. For those family fails to fulfill the volunteer duty a written notice will be issued AND another assigned duty within a month. For those who failed to fulfill volunteer duties there is a fine of $100.

Tuition Refund Policy
i. ii. iii. 90% of tuition will be refunded prior to class session 1. 70% of tuition will be refunded prior to class session 3. No refund will be processed post class session 3.

Parent' Signature:_____________________________ Date_______/________/_______

Office Use Only

_______ ________________________________________ ______/_______/_______ __________________________________

Good Deeds Academy admits students of any race, sex, color, and national or ethnic origin.

2012

Permissions
ATTENTION PARENTS

September 18,

Student Name _________________________________

Grade ________

From time to time, your students photograph/picture or other directory information may appear in various school publications such as directories, websites, class photos, flyers or school yearbooks. If you do NOT wish to have your students information/picture appear in such publications, please circle the appropriate boxes below. PE Marking YES, gives permission to use the students information. Marking NO, denies permission to use the students information. If all boxes remain unchecked, you will be giving permission to have your students information appear in schools publication. RMISSIOSCHOOL PTA DIRECTORY: My students picture may appear in school print publications. YES NO

My students picture may appear on school web pages. YES NO

My students name may appear in school print publications. YES NO

My students name may appear on school web pages. YES NO

Parents Signature___________________ Date:______________


Release of Liabilty and Assumption of Risk Agreement
This agreement made between THE GOOD DEEDS ACADEMY, (hereafter GDA), and (hereafter Guest/Parents/Legal Guardians.) WHEREAS, GDA welcomes Guest/Parents/Legal Guardians and its members voluntarily participate and visit GDA, but would like Guest/Parents/Legal Guardians and its members to accept responsibility for their own damage of injury of any damage or injury caused by Guest/Parents/Legal Guardians of its members to persons or property of GDA or a third party. WHEREAS, GDA will enter into this arrangement only on condition that GDA be released and indemnified against any such damages or injuries. NOW, THEREFORE, in consideration of the conveniences and agreements herein contained, Guest/Parents/Legal Guardians agrees as follows: 1. Guest/Parents/Legal Guardians hereby releases and discharges GDA, and all directors, officers, volunteers, agents, attorneys, associates and employees of GDA, from all my rights, claims, actions, or demands against them in connection with Guest/Parents/Legal Guardians visitation or participation in GDAs Programs of activities. 2. For valuable consideration cited above, Guest/Parents/Legal Guardians further indemnifies and saves harmless GDA, and all directors, officers, members, agents, attorneys, associates and employees of GDA from and against any and all claims, actions, and suits where groundless of otherwise, and from against any and all liabilities, losses, damages, costs, charges. Attorney fees, and other expenses or every nature and character by reason of any claim by its member or any third party arising ort of or in connection with Guest/Parents/Legal Guardians and its members visitation of GDA or participation in any of GDAs program and activities. This agreement is entered into on this ACADEMY. (date), at THE GOOD DEEDS

Good Deeds Academy

Guest/Parents/Legal Guardians Signature

Print Name and Address


Good Deeds Academy

Emergency Medical Care Authorization Academic Year 2012-2013 /Name of Students /Grade

In the event of a medical emergency, the School will make every effort to reach the person designated as an emergency contact before using the authorization below. In case we are unable to communicate with the emergency contact person immediately, your signature on this authorization may assist in obtaining necessary medical care. Emergency Contact Information /Name Relationship /Phone

In my absence or in the absence of an authorized parent or guardian of the participant, I hereby authorize the Good Deeds Academy and its representatives to administer first aid and to obtain and consent on behalf of the Students and Students parents or guardians, any emergency first aid or medical /hospital care, including necessary transportation. I agree to abide and be bound by such decisions and consents as if made by me and do assume full financial responsibility for agree to pay all expenses of such care. I understand that it is my responsibility to secure adequate insurance for first aid and medical care. This authorization is entered into on this DEEDS ACADEMY. (date), at THE GOOD

Parents/Legal Guardians Signature

Print Name and Address