Sign-Up (Registration Part 2)

Please Note: Our program will start Monday, September 26th

LIA Registration Form

NOTE:  All class fees and first-month tuition are due after registration to secure your child's seat. 

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Would you like 50% of all your tuition payments treated as a tax-deductible donation to the LIA Giving Fund? 

(If you do, you will be able to write off 50% of tuition fees for educational tax purposes.) 

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Acknowledgment, Waiver, and Release from Liability And Approval of Use of Photographs including our website, Instagram and Facebook.

Parent/Natural or Legal Custodian

 

I am the parent and natural (or legal custodian, by court order,) of the registering child, and there are no court orders now in effect that would prohibit me from executing this Acknowledgement Waiver and Release from Liability on behalf of the registering child and the Approval of Use of Minors’ photographs. 

Answer

I acknowledge that my child may participate in the visual and performing arts, [when applicable] dance exercises, training, instruction, attendance at onsite/offsite performances, and recitals, which comes with the potential for minor and or serious injury. On behalf of my registering child, I hereby assume the risks of participation in the visual and performing arts, exercises, warm-up, training, instruction, and performance events.

I approve that my registering child’s photograph may be used by the Laity Institute of the Arts to promote its business.

I certify that my registering child is physically fit for participation in the visual and performing arts, [when applicable] exercises, warm-up, training, instructions, and performance events and has not been advised otherwise by a qualified medical person.

I acknowledge that my statements herein are being accepted by The Laity Institute of the Arts and relied upon by any and all sponsors, employees, instructors, organizers, and administrators in allowing my registered child to participate in the visual and performing arts performance [when applicable] dance exercises, training, instruction, events including recitals.

In consideration, for allowing my registered child to participate in the visual and performing arts, [when applicable] dance exercises, training, instruction, and performance events including recitals, I hereby take the following action on behalf of my registered child, child’s executors, administrators, heirs, next of kin and successors and assert:
 

  • a) WAIVE, RELEASE AND DISCHARGE from any and all claims or liabilities for personal injury, sickness of any kind as relating to any COVID type viruses, cold, flu, or diseases arising naturally in nature, property damage, or damages of any kind which arise out of or relate to the registered child’s participation in the visual and performing arts, [when applicable] dance exercises, training, instruction, attendance at onsite/offsite performances and recitals, which comes with the potential for minor and or serious injury THE FOLLOWING PERSONS OR ENTITIES: Laity Institute of the Arts, its directors, and officers, all event sponsors, instructors, employees, organizers, representatives, and agents of any of the aforementioned

  • b) AGREE NOT TO SUE any of the aforementioned persons or entities for any claims or liabilities that I have waived

  • c) APPROVE THE USE OF photographs by Laity Institute of the Arts to promote its business

  • d) HEREBY AFFIRM that I am eighteen years of age or older and am acting on behalf of my registered child

  • e) HEREBY AFFIRM that I have read Acknowledgement, Waiver, and Release from Liability and Approval of Use of Photographs and understand its contents

By electronically signing below, I agree with the preceding statements.

Parents of Charter School Students, after you click Register, please close out the page. Next, contact your Charter School to request a payment voucher. Note: The first-month must includes registration and material fees. Every month thereafter requires the normal monthly tuition payment. 

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