Big Green Bus HSV Online Registration

Registration

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Welcome to Big Green Bus HSV! Classes are recommended for children ages 2 through 1st grade. Summer 2020 Classes will be 30 minutes long. Tuition is $56 per month.

* denotes required fields

Referral Information

How did you hear about us?

Referral Name

Family Information

Family Last Name*

Where do you live?

Home Address*

City*

State*

Zip*

Home or Primary Phone*

Contact #1

Contact #1 First Name*

Last Name *

How Can We Contact You?

Home Phone

Work #

Cell # *

Portal Access (your email is your login)

Email* (Emails are kept confidential)

Confirm Email*

Portal Account Password

Confirm Portal Account Password

Contact #2

Contact #2 First Name

Last Name

How can we contact you?

Home Phone

Work #

Cell #

Email (Emails are kept confidential)

Confirm Email

Student #1

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

May we use your child's photo?*

Class/Teacher's Name*

Enroll in Classes

Select Class *

Student #2 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

May we use your child's photo?*

Class/Teacher's Name*

Enroll in Classes

Select Class

Student #3 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

May we use your child's photo?*

Class/Teacher's Name*

Enroll in Classes

Select Class

Student #4 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

May we use your child's photo?*

Class/Teacher's Name*

Enroll in Classes

Select Class

Student #5 (Show-Hide Details)

Student's First Name*

Last Name*

Student Gender*

Birth Date* (format=mm/dd/yyyy)

Additional Info

May we use your child's photo?*

Class/Teacher's Name*

Enroll in Classes

Select Class

Add Another Student

Required Policies and Agreements

Liability Waiver

As a legal guardian, I consent for my student to participate in the Big Green Bus HSV program. I recognize that any activity involving motion, rotation or height like gymnastics may cause accidental injuries, possibly minor, serious or catastrophic in nature such as paralysis or death. I understand that it is the expressed intent of Big Green Bus HSV LLC to provide for the safety and protection of my child and in consideration for allowing my child to use these facilities. I hereby release, Big Green Bus HSV, its officers, teachers, employees and hosts from all liability and for any and all damages and injuries suffered by my child while under the supervision of Big Green Bus HSV. As legal guardian of my student, I hereby agree to individually provide for the possible future medial expenses that may be incurred by my child as a result of any injury sustained while using Big Green Bus HSV. I further attest and acknowledge that my child is in good health and condition and is physically able to participate in activities provided by Big Green Bus HSV. This acknowledgment of risk and waiver of liability, having been read thoroughly and understood completely, is signed voluntarily as to its content and intent.

I've read the above and agree.

Payment Policies

For month to month classes, payments are due by the first day of the month. If payment is not received by the 12th day of the month, a $15 late fee will be assessed. If payment is not received by the 20th day of the month, the student may be dropped from the class. For multi-week sessions, payments are due by the first class. A $15 late fee will be assessed if payment is not made by the second class. Students will be dropped from the class if payment is not made by the third class. A $25 fee will be charged for any returned check. Refunds will not be issued for unused tuition. Credits may be applied towards Special Events such as Birthday Parties within 1 year.

I've read the above and agree.

Attendance Policy

If your child is absent the day Big Green Bus HSV comes to your school, full tuition is still due. If the school is closed on a scheduled school day for any reason, classes will not be made up. Make-ups will be coordinated with the school if Big Green Bus HSV is unable to attend the regularly scheduled class due to unforeseeable events. If you wish to drop your child from class, written notice must be given before the first of the month.

I've read the above and agree.

Sickness Policy

If a student is unable to attend school due to sickness they may not attend BGB class. If a child is showing signs of sickness (fever, vomiting, diarrhea, productive cough, rashes of unknown origin, conjunctivitis, strep throat, impetigo, scabies, ringworms, head lice, infected open sores, etc) they may not attend BGB class at the discretion of the instructor and the parent will be notified. I agree to keep my child at home if my child or anyone in the household is exhibiting symptoms of COVID-19. Additionally, I understand that my child will not be able to participate in BGB if they or someone they have come in contact with has tested positive or is exhibiting symptoms of COVID-19 for a period of 14 days after they have tested negative for COVID-19. Please send a notification if a student is scheduled to attend BGB class and has a listed ailment that has been cleared by the doctor to return to school. I understand and I consent for my child to participate in Big Green Bus HSV Class knowing that it is impossible to keep anyone completely safe from exposure to COVID-19 and/or other viruses.

I've read the above and agree.

I Agree to All of the Above

Enter your Full Name*

Questions or Concerns

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