MINI BC 5-7 Registration Form

Title *

Child's Name *

First

Last

Child's Age *

I am registering my child for *

My child is allergic to / has special needs *

School your child attends *

Alumnus/Alumna *

We photograph and/or videotape some classes *

I allow my child's picture to be used in promotional material Please do not post any pictures of my child publicly

Would you like to receive our monthly newsletter? *

Yes, please. I love etiquette tips and learning about new programs. No, thank you. I receive too many emails already.

What would you like to receive more information about? *

Etiquette tips for kids Programs for kids Etiquette tips for professionals Professional programs for adults

Goals for your child and/or additional comments: *

How did you hear about The Etiquette Academy? *

CONSENT AND WAIVER*
By submitting this application, I consent to my child participating in The Etiquette Academy of New England, LLC (TEA) class and in-person activities. TEA may summon medical or other assistance for my child in an emergency. I acknowledge, agree and consent that TEA activities involve physical activity and physical contact with others. I release and hold harmless TEA and its employees, officers, directors and agents from any responsibility, claim or liability for harm or injury resulting from my child participating in TEA classes.

Registration for Mini Manners for Little Leaders {Ages 5-7}in-person program

Registration for Mini Manners for Little Leaders {Ages 5-7}
in-person program