C.H.O.I.C.E HOMESCHOOL CO

C.H.O.I.C.E HOMESCHOOL CO-OP REGISTRATION
SPRING SEMESTER 2015
2/2/15 – 4/27/15 (End-of-Semester Program 5/4/15, 6:30pm)
Student(s) Name(s), Including Age and Grade:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Parent/Guardian Name: _____________________________________________________________
Address: _________________________________________________________________________
E-Mail:___________________________________________________________________________
Phone: __________________________________________________________________________
Any known allergies: _______________________________________________________________
Anything that would be relevant to be known concerning your child:
________________________________________________________________________________
________________________________________________________________________________
Is this your family’s first time to participate in C.H.O.I.C.E?
 Yes
 No
Dress Guidelines
I and my children agree to adhere to the following standards of dress while attending CHOICE
classes and /or events:



Please dress with modesty, therefore avoiding low-cut tops, midriff tops, miniskirts, or short
shorts.
More mature individuals should avoid tight-fitting clothing, (unless it is, of course, appropriate
during dance or exercise classes).
Also, please avoid T-shirts with inappropriate advertising or slogans.
 I agree with the CHOICE Dress Guidelines listed above.
 I do not agree with the CHOICE Dress Guidelines listed above.
C.H.O.I.C.E. HOMESCHOOL CO-OP
WAIVER & RELEASE
Our leadership team is comprised of members within our organization who have volunteered their
time to plan, organize, coordinate, and lead our group and its events. In an effort to hold harmless
those volunteer members in leadership and those volunteer members who come forward to help
organize events, parties, etc. for this co-op, we ask that ALL MEMBERS acknowledge that they are
responsible for their selves, their children and their guests AT ALL TIMES.

Upon execution of this form, I (as agent for myself and family members) the undersigned
parent or guardian of all minor children participating in the co-op and/or that might be present
under my care, do hereby unconditionally release, waive and discharge my right, whether by
contract or under operation of law to file cause of action(s) or claim(s) which I may have
against C.H.O.I.C.E. CO-OP (Christian Homeschoolers Organized In Cooperative Education)
and/or First Christian Church of Newburgh, their leaders, agents, sponsors, volunteers, and
any members now or in the future.

I do hereby assume any and all risk of loss, liability, damage, or costs, including bodily injury or
property damage that may incur arising out of or in connection to my family’s participation
and/or utilization of this co-op and the facilities, including claims that are known or unknown,
foreseen or unforeseen, future or contingent.

I fully understand the terms set forth in this form, and I hereby waive my rights freely and
voluntarily without any inducement, assurance, or guarantee being made to me to the fullest
extent allowed by law.
Parent/Guardian Signature:___________________________________________________________
Print Name: ______________________________________________________________________
Date: ________________________________________