305-330-5200

AFTER-SCHOOL 

REGISTRATION FORM


SIGN UP FOR YOUR FREE 30 MINUTE COACHING CALL TODAY:

SCHEDULE YOUR CALL



We are excited to have you join our program. Please complete the following information.

Gender
If none, please state none.
May we contact you via text*
Name, Address, Phone and Occupation
Name/Phone/Relationship to Student
Doctor, Family, Friend, or other Google Search, etc.
CODE OF CONDUCT*
-Respect yourself, others and the staff and its property -Maintain good hygiene -Always play and train safely -Do not disturb others while training -Avoid inappropriate language -Tobacco, drugs, alcohol, and weapons of any kind are prohibited
SUSPENSION/EXPULSION POLICY*
-Physical assaults or threats -Harassment, name-calling, racial slurs, foul language or taunting -Intimidation or spreading rumors -Sexual harassment (physical or verbal) -Using the internet to harass, threaten, verbally abuse, intimidate, or spread rumors. -If found to be in violation of this policy, student may be suspended or expelled, with no refunds.
EMERGENCIES*
Emergencies: If emergency medical care is necessary and I cannot be reached, I grant permission for my child to receive emergency medical treatment.
PHOTOGRAPHS/VIDEOS*
I give permission to use my child’s photo/video in advertisement items.
TEACHER WORKDAYS*
Full days are available, 8am-3pm on teacher workdays for a fee of $30 for after-school participants, and $45 for non-participants.
FINANCIAL AGREEMENT*
The undersigned promises to pay a one time registration fee of $45. The undersigned promises to pay the daily, weekly or monthly charge per selection choice PRIOR to participating.
By signing below I declare that all of my responses are accurate and true to the best of my knowledge; and that I have read, understand and agree to abide by the terms of each. In addition, I hereby waive, release, absolve, indemnify, and agree to hold harmless the Circle of Life Coaching, Inc., (COL) its directors, officers, organizers, sponsors, supervisory staff, participants, and any other affiliates; for, from, and against all liability because of any bodily injury, or property damage, known or unknown, which may occur or result from the participation of myself and/or of my child in any and all activities whether the result of negligence or for any other cause of COL. I as a parent/guardian for my child, have read this release and understand all the terms. I execute it voluntarily and with full knowledge of its significance.
SUBMIT
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After-School Rates

Find which serves you best.

Daily

$20

One Day

Best for Special Occasions


AFTER-SCHOOL: ONE DAY
$20
Add to Cart

Weekly

$70

One Week

Best Package Offer


AFTER-SCHOOL: ONE WEEK
$70
Add to Cart

Monthly

$270

One Month

Best for General Upkeep


AFTER-SCHOOL: ONE MONTH
$270
Add to Cart

One time registration

$45




TEACHER WORKDAY: FULL DAY 8AM-3PM
$30
Add to Cart
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