Master’s Academy of Fine Arts - Woodstock 

Fine Arts Exposure Program

for 4-11 year olds        

2010-2011  Registration Form

 

Parent’s Names: ______________________________________________________

Address:  ____________________________________________________________

____________________________________________________________________

Home Phone:  ____________________  Dad’s Cell Phone:  ___________________

Mom’s Cell Phone:  _________________   E-Mail:  __________________________

(Please note if you desire to have the above information included in the

directory ____ Or for office use only_____)

Children’s names, ages, and birth dates (only those attending):

Name:  __________________________________________________ Sex: __M __F

Birthdate:  ______/______/______      Age as of Sept. 1 __________

Tshirt size:  YXS    YS    YM    YL    AS    AM    AL    AXL    AXXL  (circle one)

Name:  __________________________________________________ Sex: __M __F

Birthdate:  ______/______/______      Age as of Sept. 1 __________

Tshirt size:  YXS    YS    YM    YL    AS    AM    AL    AXL    AXXL  (circle one)

Name:  __________________________________________________ Sex: __M __F

Birthdate:  ______/______/______      Age as of Sept. 1 __________

Tshirt size:  YXS    YS    YM    YL    AS    AM    AL    AXL    AXXL  (circle one)

Name:  __________________________________________________ Sex: __M __F

Birthdate:  ______/______/______      Age as of Sept. 1 __________

Tshirt size:  YXS    YS    YM    YL    AS    AM    AL    AXL    AXXL  (circle one)

Please describe briefly why your child(ren) want(s) to be involved in Master’s Academy: ____________________________________________________________________

Do(es) your child(ren) have any mental, emotional, or physical handicaps which may affect their participation in this program?

__Yes __No   If yes, please explain on a separate piece of paper.

Students are expected to commit to the work and performance schedule of this program.  Failure to attend rehearsals or performances will result in dismissal.

The Master’s Academy of Fine Arts admits students of any race, color, and national or ethnic origin.

Insurance Company: ___________________________  Policy Number: __________

Homeschool group affiliation: _____________________________________

Church you attend: ______________________________________________

Pastor’s name: _________________________________________________

Withdrawal Policies:

The Master’s Academy of Fine Arts bases its annual budget on the number of students enrolled in the program.  We do not accept new students once classes have begun.  Therefore, parents are obligated to pay for their children for the entire school year.  Exceptions to this policy include:

ð  Death of a parent

ð  Moving more than 30 miles from a MAFA location

ð  Parent becoming unemployed

NO exceptions are given for the following reasons:

ð  Child re-enrolled in school

ð  Child is tired of the program

ð  Child has too many other activities

Please prayerfully consider this commitment before applying.  You will be liable for payment for the full year after the August 1^st deadline.

Registration fee:  $145.00 (January- February 28), $165.00 (March-May 31)

                                 $205.00 (after June 1), $225.00 (after August 1)  per student

                                 (T shirt included in payment)  Payment plans are available

Tuition Payment:

Monthly tuition payment is $85.00 ($6.37 per hour of instruction) from Sept.-May (9 payments).  Please note that no tuition will be due in August.  The total tuition for this year’s enrollment is $765.00 per student.  A $20.00 late fee will be applied each month that the tuition is late.  Failure to pay tuition for more than two months will result in dismissal.

___ I would be interested in working to help cover tuition costs by being a teacher aide or childcare worker (circle applicable)

___ I would be interested in teaching at The Master’s Academy in the following area(s): _____________________________________________________________

  **Please note that all applying to work with The Master’s Academy of Fine Arts will be subject to a background check

My signature below indicates that I have read this brochure and understand the above rules and obligations of The Master’s Academy of Fine Arts.  It also absolves The Master’s Academy of Fine Arts from any liability if any member if my family, including myself, incurs injury while at The Master’s Academy of Fine Arts.  I hereby authorize the director to seek emergency medical assistance, if necessary, for the above named child(ren).  I understand that efforts will be made to contact me in case of emergency.

Signature: _______________________________________ Date: _________

 

Signature: _______________________________________ Date: _________

                                (Note, both parents must sign registration form)

Registration is on a first come, first served basis.  All applications must be received by August 1^st.  ALL registration fees are non-refundable.  Mail this form along with the registration fee to:

MAFA, c/o Wasby, 4633 Jefferson Ridge Way, Marietta, GA 30066