Last Week of School 2025 - AFTERSCHOOL at THE EXPERIENTIAL SCHOOL OF GREENSBORO

Student Grade -2024-2025 School Year

• K
• 1st
• 2nd
• 3rd
• 4th
• 5th
• 6th

Student Allergies/Dietary Restrictions

• Yes- If Yes Explain Below
• No

How Did You Hear About This Program?

• School Newsletter
• Open House
• Parent Group
• Word Of Mouth

Liability/ Indemnity Waiver
I understand that JOYEMOVEMENT programs have inherent risks, and understanding and acknowledging those risks, I hereby assume all risks and hazards incident to my participation/my child’s participation in all JOYEMOVEMENT programming and programming provided by third party vendors. I agree to waive any liability arising out of any actual, alleged, or threatened infectious, pathogenic, toxic, or other harmful properties of any “organic pathogen”, which includes but may not be limited to bacteria, viruses or other pathogens whether or not a microorganism, regardless of whether such “organic pathogen” is the result of a local outbreak, epidemic, pandemic or unknown cause.

 I further waive, release, absolve, indemnify and agree to hold harmless JOYEMOVEMENT and its employees, board, contractors, volunteers, and vendors,  as well as all persons or parents transporting participants to and from activities, from any legal claims, liabilities, damages and costs for any physical injury, illness or damage to my personal property sustained during my use/my child’s use of JOYEMOVEMENT property and/or my participation/my child’s participation in any JOYEMOVEMENT activities.

In the event of an emergency, I give my permission to JOYEMOVEMENT to call for Emergency Medical Services (911) and/or to select a physician to secure proper treatment for me or my child. By checking I agree,  you are giving your permission for you or your child(ren) to participate in JOYEMOVEMENT programming and agree to the above policies.

Liability Waiver

• I agree

Photo Release Form

I grant permission to JOYEMOVEMENT and its agents, and its employees the irrevocable and unrestricted right to produce photographs, video, or other digital media taken of my child, myself, and members of my family while at JOYEMOVEMENT for any lawful purpose including publication, promotion, illustration, advertising, trade, or historical archive in any manner or in any medium by JOYEMOVEMENT. I hereby grant JOYEMOVEMENT. permission to use all photos, videos, or digital media without payment or other consideration to me. I understand and agree that all photos, videos, and digital media will become the property of JOYEMOVEMENT. I hereby irrevocably authorize JOYEMOVEMENT to edit, alter, copy, exhibit, publish, or distribute these photos, videos, or digital media for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my/my child’s/my family’s likenesses or voices appear. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photos, videos, or digital media..

• I agree
• Opt Out- My student should not be photographed and/or videotaped.

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Workshop Details

Registration for the Last week of School 6/2-6/6 Movement Lab is due by Friday May 2nd. 

Movement Lab meets after school  on school days following the TESG 2024-2025 calendar. We begin after school immediately at dismissal until 5:30pm. Pick up is between 5:20pm-5:30pm. Any late pick-up after 5:30pm will add an additional fee. Fees are on a monthly schedule. Registration for this week is non-refundable. 

 

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Billing Address

* Country * Country Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe

* State/Province * State/Province AA AE Alabama Alaska American Samoa AP Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

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Sub Total

$75.00

TOTAL

$75.00

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Payment Method

• Credit Card
  * Credit Card Type * Credit Card Type Visa MasterCard Discover American Express Diner's Club

  * Exp Month * Exp Month January February March April May June July August September October November December

  * Exp Year * Exp Year 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035

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Thank you for registering for Movement Lab- Afterschool at TESG

We have received your registration and look forward to working with your student!

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