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CJ's Cteative Arts- BSS After School Enrollment Form
Grade & Teacher's Name
Original Bus Number
Allergies or Physical Limitations
Dates & Times
Thursdays, Oct 12- Nov 16 (k-2nd grade) 3:45-4:45
I give my child permission to participate in the dance program provided by Cassandra JerVey and CJ’s Creative Arts. I understand that there are liabilities that pertain to any type of physical movement. Therefore, I release Cassandra JerVey & CJ’s Creative Arts from any liabilities, losses, claims, or expenses (including court cost and medical bills) that may arise out of the participation in the program. I understand that any photos that are taken will be used for promotional purposes only and can be removed by request. Please Sign.
*Please Note* There will be a $5 charge for late pick ups.
I agree to these terms.