Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Student's Name *FirstLastSchool *Medina, Clyde Hill, etc.Grade *K12345Teacher *Date of Birth *(MM/DD/YEAR)Parent/Guardian's Name *FirstLastEmail *Phone *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePlease list an emergency contact other than parent or guardian *Medicine or Allergies *Insurance (company and policy number):Art Classes *Somerset (K-5) creative art class2023 Somerset Elementary creative art class. (Fridays 19weeks ) 3:30-5:15pm, (1/12, 1/19, 1/26, 2/2, 2/9, 2/16, 3/1, 3/8, 3/15, 3/29, 4/5, 4/19, 4/26, 5/3, 5/10, 5/17, 5/24, 5/31, 6/7). Total$0.00Stripe Credit Card *CardName on CardAcknowledgement of Risk, Waiver, and Release of Liability *I have read and accept the Terms of Service and Privacy Policy.I understand and acknowledge that participation in the events designed and/or operated by American Academy of Fine Arts LLC (AAFA), including all of the activities and the use of facilities and equipment, involves an inherent and unavoidable risk of injuries, harm, and loss. I understand that although the AAFA takes precautions to provide proper organization, supervision, and equipment, it is impossible for the AAFA to guarantee absolute safety. I understand there are numerous risks associated with participating in the events, a complete listing of inherent risks is not possible and some risks cannot be anticipated. I authorize the child/children named in this Acknowledgement of Risk, Waiver, and Release of Liability (“Release”) to participate in the events and all activities operated by the American Academy of Fine Arts. On my own behalf and on behalf of the child/children named in this Release, I ACKNOWLEDGE THE RISKS associated with participation in the AAFA’s events and expressly and voluntarily assume the risks of participation in the AAFA’s events and activities operated by the AAFA and HEREBY WAIVE AND RELEASE ALL CLAIMS AND LIABILITIES (WHETHER ON BEHALF OF THE CHILD/CHILDREN NAMED IN THIS RELEASE OR FOR MY OWN BENEFIT) AGAINST THE AAFA (INCLUDING ITS STAFF, EMPLOYEES, AND AGENTS) THAT MAY ARISE FROM INJURIES, HARM OR LOSS RESULTING FROM PARTICIPATION IN THE EVENTS AND ACTIVITIES OPERATED BY THE AAFA, INCLUDING (WITHOUT LIMITATION) ANY CLAIMS ALLEGING NEGLIGENCE BY THE AAFA (INCLUDING ITS STAFF, EMPLOYEES, AND AGENTS), to the fullest extent allowed under the laws of Washington. If any aspect of this waiver is deemed to be invalid, I acknowledge that the remainder of the agreement will continue to have full force and effect. If my agreement on behalf of my child/children to release their claims against the AAFA is deemed invalid for any reason, I agree to indemnify the AAFA in connection with any claims arising out of my child’s/children’s participation in the events and activities operated by the AAFA, including payment of reasonable defense costs incurred by the AAFA. I hereby authorize the staff of the AAFA to act according to their best judgment in any situation requiring medical attention for the child/children named in this Release when I am not present. I understand that it is my responsibility to provide medical insurance coverage for the child/children named in this Release while they are participating in the events operated by the AAFA and to provide accurate and complete medical information. I attest that all immunizations for the child/children named in this Release that are required by their school or local school district are up to date, OR I am refusing this requirement for religious or other reasons. I acknowledge that the costs of any medical treatment provided to the child/children named in this Release that are not covered by medical insurance will be my sole responsibility, consistent with the waiver of claims above. The AAFA reserves the right to expel or deny participation in its events to children in its sole discretion if the actions of a child or a child’s parent/guardian make a positive and constructive relationship impossible; if such actions threaten the safety of the child, other children, or AAFA staff; if such actions otherwise interfere with the AAFA’s accomplishment of its mission; or if expulsion would be in the best interest of the child or the AAFA. The AAFA will make every attempt to communicate with the child and the child’s parent/guardian regarding any actions that would put a child at risk of expulsion. I agree that the AAFA (including its staff, employees and agents) can take and use photos, video and audio recordings of the child/children named in this Release for the limited purposes of marketing the AAFA which may be publicly available on the internet, without compensational obligation, and I hereby release the AAFA (including its staff, employees and agents) from any claims or liability resulting from their use of photos, videos and audio recordings. I agree to receive periodic email, phone or written communication from the AAFA regarding products, services or information that may be of interest to me. Refund Policy: A 75 percent tuition refund for cancellations made 14 days or more before the class. A 50 percent tuition refund for cancellations made 7 days or more before the class. There will be no refunds for cancellations made within 7 days of the class, although substitutions may be permitted. Refunds will not be provided for registrants who do not attend the class. Notice of cancellation must be made via e-mail to yanz@aafa.info. A cancellation acknowledgement will be sent within 3 working days and tuition refunded within 10 working days. I agree to observe and obey all posted rules and warnings regarding COVID-19, and further agree to follow any oral instructions or directions given by American academy of fine arts, or the employees, representatives or agents of American academy of fine arts. I recognize that there are certain inherent risks associated with the above described activity regarding COVID-19, acknowledge the contagious nature of COVID-19 and understand that CDC and public health authorities recommend the practice of social distancing, and I assume full responsibility for personal injury to myself and (if applicable) my family members, and further release and discharge American academy of fine arts for injury, loss or damage arising out of my or my family’s use of or presence upon the facilities of American academy of fine arts, whether caused by the fault of myself, my family, American academy of fine arts or other third parties. I acknowledge that American academy of fine arts has followed all local and state requirements regarding the coronavirus pandemic to reduce the spread of COVID-19. I acknowledge that American academy of fine arts cannot guarantee that I will not become infected with COVID-19.Signature Clear Signature EmailRegister Registration is full for Somerset After School Art Class! More art classes can be found at aafawa.com on our main campus!