After Care at Burhan Academy
3:30-6pm on days school is in session starting Aug. 18, 2025. The cost is $200/child/month. Please pay $100 for Aug. and $200 for Sept. to be enrolled into the program. Anytime the students drop to below 15, we will not be able to offer aftercare.
Parent/Guardian Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How many children are you registering?
*
Please Select
1
2
3
Total
After Care Fees
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Child's Information
Child 1
Name
*
First Name
Last Name
Age
*
Please Select
3
4
5
6
7
8
9
10
11
12
13
14
Child 2
Name
*
First Name
Last Name
Age
*
Please Select
3
4
5
6
7
8
9
10
11
12
13
14
Child 3
Name
*
First Name
Last Name
Age
*
Please Select
3
4
5
6
7
8
9
10
11
12
13
14
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If your child has any medical concerns or allergies, please mention them here.
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Admin Use Only
You are registering {howMany} student(s). Please proceed to payment to complete the payment.
After Care Registration for Aug. and Sept. Fees
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( X )
USD
Non-Refundable after care fees.
A PARENT MUST SIGN AND DATE HERE AFTER READING: Please read this waiver carefully. Signing your name means you accept the terms and conditions of the waiver. Burhan Academy Waiver *Acknowledgment and Assumption of Risk *I, the undersigned parent/guardian of the above-named participant, acknowledge that participation in sports camps and related activities (including full-time school, sunday maktab, after care etc) at Burhan Academy involves inherent risks, including but not limited to physical injury, illness, or other unforeseen hazards. I understand that while Burhan Academy strives to provide a safe environment, it cannot guarantee the elimination of risks. By signing this waiver, I voluntarily assume all risks associated with my child’s participation in the sports camp, including but not limited to: Injuries resulting from physical activities, such as running, jumping, or playing sports. Injuries caused by equipment or facilities. Exposure to communicable diseases, including but not limited to COVID-19.Waiver and Release of Liability In consideration of my child’s participation in this sports camp for primary and secondary education students, I hereby release, discharge, and hold harmless Burhan Academy, its staff, volunteers, representatives, and affiliates from any and all claims, liabilities, or damages arising out of or related to my child’s participation, except where caused by gross negligence or willful misconduct. Medical Treatment Authorization In the event of an emergency, I authorize the sports camp and its staff to secure appropriate medical treatment for my child, including transportation to a medical facility. I agree to be responsible for any medical expenses incurred. *Code of Conduct Agreement *I acknowledge that my child is expected to adhere to the rules and guidelines established by Burhan Academy. Failure to comply with these rules may result in removal from the camp without refund. Acknowledgment of Understanding I have read and fully understand this waiver and release of liability. By signing below, I confirm that I am the legal parent/guardian of the participant and that I voluntarily agree to the terms outlined in this document.
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