You can fill out the online Registration Form below. You can also print out the registration form by clicking on the button below the online registration for your records. Or you can print the form and fill it out to either email or send it to me. Please contact me to get my mailing address.
Once you have submitted your Registration Form go to the PayPal button at bottom of this page to make your $25 Registration payment* or send check to Cynthia Vaccaro. Please contact me for mailing address.
*To Ensure Enrollment Pay Registration Fee
Your child will not be guaranteed a space in class until registration form and $25 registration payment have been received. Space is limited and students will be added on a first come, first serve basis.
How to Private Pay
If you will not be using Charter funds for the class and are paying directly you can use the Pay Pal button to make your payment or you can send me a check. Please contact me for my mailing address.
Waiver & Release of Liability
By reading and signing electronically or on paper I hereby solely and expressly assume liability for all risks and waive any claim I might have against Cynthia Vaccaro, or individuals acting in the capacity as agents of the organization (staff members, independent contractors, volunteers, etc.). I assume full legal liability for my child’s actions in class and release Cynthia Vaccaro and its agents acting on behalf of Cynthia Vaccaro from any claims made as a result of my actions. I understand and agree that this Waiver & Release of Liability will have the effect of releasing, discharging, waiving, and forever relinquishing any and all actions or causes of action that I, or my child, may have or have had, whether past, present, or future, whether known or unknown, and whether anticipated or unanticipated by me or my child, arising out or participation in Cynthia Vaccaro’s Creative Explorers class. I understand and agree that by signing this Waiver & Release of Liability, I am assuming full responsibility for any and all risk of death or personal injury or property damage suffered by me and/or my minor child while participating in any and all activities at Cynthia Vaccaro’s Creative Explorers class, (or individuals acting in the capacity as agents of the organization (staff members, independent contractors, volunteers, etc.). I understand and agree that by signing this Waiver & Release of Liability, I am agreeing to release, indemnify, and hold harmless Cynthia Vaccaro, or individuals acting in the capacity as agents of the organization (staff members, independent contractors, volunteers, etc.) from any and all liability or costs, including attorney fees, associated with or arising from participation in Cynthia Vaccaro’s Creative Explorers class. I understand that this Waiver & Release of Liability will be binding on me, my spouse, my heirs, my personal representatives, my assigns, my children, and any guardian ad litem for said child/children.
I hereby grant to Cynthia Vaccaro permissions to use any photograph or videotape taken during class and deemed by Cynthia Vaccaro to be proper, in any Creative Explorers, Cynthia Vaccaro publicity, or other use specifically for the promotion of and public awareness of Creative Explorers, Cynthia Vaccaro.
I acknowledge that I have read this Waiver & Release of Liability and that I understand the words and language in it.
My typed name below is equivalent to an Electronic Signature.
By checking box below I agree to the submission of the $25 Registration Fee when registering and understand that my child will not be enrolled until payment is received. I also agree to pay the full tuition amount with either charter funds or personal pay whether all classes have been attended or not
Cynthia Vaccaro firstname.lastname@example.org
August 13th to December 3rd, 2018
Time: 10:00-3:00 p.m.
Location: Granite Springs Church 1170 E Joiner Pkwy, Lincoln, CA 95648
Tuesdays and Thursdays
August 14th to December 6th, 2018
Time: 10:00-3:00 p.m.
Location: Life Church Roseville 1052 Melody Ln. #290 Roseville 95678