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  • Student - Member Application
  Heart Encounters
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Heart Encounters
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Quick Start ​Liability Waiver

    Fill in The Name of Teacher or Coordinator of This Class or Event


    Adult Registering for Themself and/or Family Members (if applicable)
    (Must be 18+ yrs old)


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    Additional Family Members Attending if Applicable

    If no additional family members will attend, click HERE to finish

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    Please Read Liability Agreements and Check to Confirm You Agree


    Accident, Injury and Liability
    I understand and agree that by participating in any class, workshop, activity, event, rehearsal, program or performance, there is the risk of injury.  I voluntarily agree, because of my choice to participate in classes, workshops, activities, events, rehearsals,  programs or performances, (whether on or off of the Heart Encounters campus), to assume all risks and responsibility for any such injury or accident which might happen to me, my children, my relatives or any guests I bring to Heart Encounters classes, workshops, activities, events, rehearsals,  programs or performances.  I also voluntarily agree to waive my rights and the rights of my heirs and my family members, and agree to apprise any of my guests that by participating in Heart Encounters venues, they also agree to waive their right 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 of the forgoing venues conducted by Heart Encounters.  ​

    ​Publicity Photos
    I give Heart Encounters permission to use photographs of myself  or other family members, for publicity purposes.

    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 is able to 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.

    Using Heart Encounters Amenities
    Heart Encounters offers several amenities designed to host our community, our teachers, families, parents and siblings of students taking classes.  By providing opportunities to engage in various activities, we welcome those who want to build relationships in a relaxing family atmosphere.  These amenities include the "Gathering Place" (coffee shop), the Game Room and a Quiet Room for prayer and contemplation. For a donation, these  amenities may also be scheduled to host approved special events and classes.  All rooms require adult supervision for children younger than 16 years of age.  We ask those who use these amenities to clean up after themselves, donate to Heart Encounters if you partake in the coffee or snacks offered in the coffee shop, and provide oversight for children under 16, showing them how to restore games and books to their proper place, and cleaning up any food or drink that was brought into, or eaten in the amenity rooms.  No roughhousing is allowed in the rooms and Heart Encounters reserves the right to ask anyone to discontinue their visit if behavior is deemed disruptive to others, to classes in session or if anyone fails to comply with the rules posted in rooms or in this  agreement.  Special Events can be scheduled and used for a donation, by emailing:  [email protected]

    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.  If parents do not stay at Heart Encounters during their student's classes,  parents should drop off and pick up students promptly, when classes begin and end.  We appreciate your help in keeping our school safe and secure.

    Thank You.  Please Submit.
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