Story Time

Story Time

with Hearts Academy of Excellence
Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
How many Children will be attending story time
Please list children names and age
for example John Doe 8
Please choose your date(s) for story time

June 29 ( What Should Danny Do? Understanding the power of choices.) July 6 (The World Needs Who You Were Made to be by Joanna Gaines.) July 13 (Children of the King by Max Lucado) July 20 (Cornelius by Leo Lionni)
Informed Consent and Acknowledgement I hereby give my approval for my child’s participation in any and all activities prepared by {Hearts Academy of Excellence} during the selected dates. In exchange for the acceptance of said child’s candidacy by {Hearts Academy of Excellence} ., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless {Hearts Academy of Excellence} . and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of , participating in from selected sessions. In case of injury to said child, I hereby waive all claims against {Hearts Academy of Excellence} including all Volunteers and Directors, and all participants, used to conduct the event.
I agree with all the above

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