Student - Member Application
#1
For 1 Adult (over 18), applying for themself ONLY

If you have already registered for classes, your registration
​is not complete until you submit this form.
    Your 1 year Student - Member Application starts today:
    Contact Information
    ​Emergency Contact Information
    (Can be your spouse or another emergency contact)
    Agreement
    All students over 18 years of age, must read and respond to the following requirements before they participate in any class or event at Heart Encounters.
    Accident, Injury and Liability​
    I understand and agree that by participating in any class, workshop, activity, event, rehearsal or performance, there is the risk of injury.  I voluntarily agree, because of my choice to participate in classes, programs, activities or events provided, to assume all risks and responsibility for any such injury or accident which might occur to me during any of the Heart Encounters classes, programs, activities and events.  I also voluntarily agree to waive my rights and the rights of my heirs, to hold Fayette County Board of Education and Heart Encounters, its owners, agents teachers, volunteers, assistants, employees, guest artists, faculty members and/or students, liable for damage, loss, injury or death due to the ordinary negligence which may arise out of, or in connection with participation in any classes or activities conducted by Heart Encounters.
    Publicity Photos
    I give Heart Encounters permission to use photographs of myself for publicity purposes.  If I check Opt-Out, I agree to email Heart Encounters to confirm my decision at: [email protected]​
    Dropping a Class
    Please let us know if you need to drop a class.  If payment has been made to a teacher at the time the class is dropped, is up to the teacher to decide whether to refund payments already made at the time the class is dropped.  All payments for classes go directly to teachers.  Payment questions, concerns or issues are to be worked out between you and the teacher. If you have questions before starting a class, please discuss your questions with the teacher.
    Notice of Exemption
    I acknowledge that I have been informed that Heart Encounters is not a licensed child care facility.  I also understand that Heart Encounters is not required to be licensed by the Georgia Department of Early Care and Learning, and Heart Encounters is exempt from state license requirements.
    Payment for Classes
    Heart Encounters Teachers and Equippers set the fees they charge for their classes/events.  They keep all payments they receive.  Equippers and Teachers donate to Heart Encounters out of payments they receive.  We all function as a community, contributing as we are able so Heart Encounters can continue serving our local community. We expect Teachers and Equippers to take this into account when setting the amount they charge for classes/events. We evaluate Heart Encounters' financial status regularly, to assess our class payment policy and we reserve the right to change and be flexible according to the financial state of Heart Encounters. Donations from students, families and sponsors are always welcome and appreciated.
    Class Conduct
    Heart Encounters endeavors to maintain a safe and enjoyable family atmosphere.  We expect students to respect teachers and school property.  Because we often have multiple classes in session at the same time, we ask parents to be sure children do not run in the hallways and that everyone uses quiet voices, so classes are not interrupted.  Parents should drop off and pick up children when classes begin and end. We appreciate your help in keeping our school safe and secure.
    Agreement to All of the Above

    After clicking the SUBMIT button, wait a few seconds.  If you do not see a confirmation message, it means you did not complete a required item in the application. Scroll back up to the top and look for items outlined in red and complete the application. Then SUBMIT your application again.
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