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June 2023- August 2024

Registration required for every student

 

 


Waiver for non-karate participants

The Alaska Moving Arts Center is a nonprofit volunteer organization providing certain recreational and educational opportunities to the community. Each participant, individually or through his or her parent or guardian recognizes the possibility of injuries resulting from his or her participation in any of the activities or functions sponsored by the Alaska Moving Arts Center even though the activities and functions will be supervised and/or taught by adult volunteers or instructors. With that possibility in mind, it is the intent of the undersigned, by executing this document, to waive, release and hold harmless the Alaska Moving Arts Center, its officers, directors, staff, and volunteers from any and all liability for any injuries or damages sustained by the named participant, arising out of, in connection with, or resulting from participation in any activity or function sponsored by the Alaska Moving Arts Center.

Further, if the participant is a minor, the undersigned here by consents to emergency medical treatment, hospitalization or other medical treatment as needed for the welfare of the named participant by a physician, qualified nurse and or hospital in the event of injury or illness while participating in the event. In that regard, the undersigned, on behalf of himself or herself and the participant ,does hereby waive, release, and hold harmless the Alaska Moving Arts Center, its officers, directors, staff, and volunteers from any and all liability arising out of, in connection with, or resulting from such medical treatment.

Waiver for karate participants

Alaska Moving Arts center is a nonprofit volunteer organization providing certain recreational and educational opportunities to the community. The Eagle River Shotokan Karate Club is a club organized and operated by volunteers for the purpose of providing opportunities to train in traditional Shotokan Karate. A governmental agency or sports association certifies none of the volunteer instructors and none of the regular instructors receive compensation for their services.

Karate training can be a physically demanding activity, and like any other physical activity, can create cardiovascular risks as well as ricks of physical injury. Each participant, individually, or through his or her parent or guardian recognizes the possibility of injuries resulting from his or her participation even though the club employees generally accepted training techniques. With that possibility in mind, it is the intent of the undersigned, by executing this document, to waive, release and hold harmless the Alaska Moving Arts Center, its officers, directors, staff and volunteers from any and all liability for any injuries or damages sustained by the above-named participant, arising out of, in connection with, or resulting from training in karate.

Further, if the participant is a minor, the undersigned hereby consents to emergency medical treatment, hospitalization, or other medical treatment as needed for the welfare of the above-named participant by a physician, qualified nurse, and/or hospital in the event of injury or illness while participating in club functions. In that regard, the undersigned, on behalf of himself or herself and the participant, does hereby waive, release, and hold harmless the Alaska Moving Arts Center, its officers, directors, staff, and volunteers and members of the staff of the Eagle River Shotokan Karate Club from any and all liability arising out of, in connection with, or resulting from such medical treatment.

Date: April 24, 2024

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive AMAC updates and class information
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Check the classes for which you are registering. Classes are available unless marked as wait-listed or closed.

How did you hear about our programs?
SHOTOKAN KARATE CLASSES
Karate (Kindergarten and older) Mon/Wed/Fri 6:30-7:30
Pee Wee/Youth Karate I (Age 4-7) Wednesday 4:30-5:15 CLOSED
Pee Wee/Youth Karate II (Age 5-7) Wednesday 5:15-6:00 CLOSED
Karate (teen/adult) Sat. 7:30-9:00 Online
DANCE CLASSES (KINDERGARTEN AND OLDER)
Hip Hop Fri. 4:00-5:00 Kindergarten and older (5/24-6/28)
Ballet/Jazz I Thurs. 10:30-11:30 Kindergarten and older (starts 6/6)
Ballet/Jazz II Thurs. 11:30-12:30 (starts 6/6)
Performance Co. Tues. 11:30-12:45 (starts 6/4)
Ballet/Jazz II Thur. 5:15-6:15 CLOSED
Modern Dance Saturday 9:30-10:30 CLOSED
Ballet/Jazz I Thur. 4:15-5:15 CLOSED
Ballet/Jazz I Sat. 11:15-12:15 CLOSED
Ballet/Jazz III Tues. 4:15-5:15 CLOSED
Ballet/Jazz IV Tues. 5:15-6:15 CLOSED
Ballet/Jazz V Tues. 6:15-7:15 CLOSED
Hip Hop I Friday 4:00-5:00 CLOSED
Hip Hop II Friday 5:00-6:00 CLOSED
Performance Company Friday 4:15-5:45 CLOSED
Square Dance Wed. 2:00-4:00
TUMBLING OR CHEER (KINDERGARTEN AND OLDER) and AERIAL (10 AND OLDER)
Tumbling I Tues. 4:15-5:15 Kindergarten and older (6/4-7/23)
Tumbling II Tues. 5:15-6:15 Kindergarten and older (6/4-7/23)
Tumbling I Monday 4:15-5:15 CLOSED
Tumbling I Tuesday 4:15-5:15 CLOSED
Tumbling I Thursday 4:15-5:15 CLOSED
Tumbling II/III Tues. 5:15-6:15 CLOSED
Tumbling II/III Thursday 5:15-6:15 CLOSED
Cheer I Sat. 12:30-1:30
Cheer II Sat. 1:30-2:30
Aerial Tues. -age 10 and older (must also register with www.cirqueboreal.com)
Aerial Thur.-age 10 and older (must also register at www.cirqueboreal.com)
Aerial Sun. age 10 and older (must also register at www.cirqueboreal.com)
Other Programs for Adults
Yoga for Healthy Aging Tuesday 9:15-10:15
Yoga for Healthy Aging Thursday 9:15-10:15
Ballroom Dance Wed. 8:00-9:00 PM (Six week session)
Ballet/Jazz/Hip Hop for Adults Wed. 1:00-2:00
CREATIVE MOVEMENT & TUMBLING (3-5 YEARS OLD) & TINY TYKES (18 MONTHS-3 Y.O. with parent)
Creative Movement and Tumbling Age 3-5 Wed. 11:00-11:45 (starts 6/5)
Creative Movement and Tumbling Age 3-5 Wed. 12:00-12:45 (starts 6/5)
Tiny Tykes (Age 18 mo.- 3 years) Monday 10:45-11:30
Creative Movement and Tumbling (Age 3-5) Monday 12:00-12:45 CLOSED
Creative Movement and Tumbling (Ages 3-5) Wed. 11:00-11:45 CLOSED
Creative Movement and Tumbling (Ages 3-5) Wed. 12:00-12:45 CLOSED
PRE-BALLET CLASSES 3-5 years old
Pre-ballet I Age 3-5 Tues. 9:30-10:15 (starts 6/4)
Pre-ballet II Age 3-5 Tues. 10:30-11:15 (starts 6/4)
Pre-ballet I Monday 1:15-2:00 CLOSED
Pre-ballet I Tue 9:30-10:15 CLOSED
Pre-ballet I Saturday 9:30-10:15 CLOSED
Pre-ballet II Tuesday 10:30-11:15 CLOSED
Pre-ballet II Saturday 10:30-11:15 CLOSED
RadKIDS SUMMER CAMPS Ages 5-7(Kindergarten) June 3-7 Ages 8-12 June 8-12
Age 5-7 New Student
Age 5-7 Returning Student
Age 8-12 New Student
Age 8-12 Returning Student
SUMMER CAMPS
Dance and Tumbling Camp Kindergarten and older June 17-21 1:00-4:00
Tumbling Camp Kindergarten and older June 24-28 2:00-4:00
Hip Hop Camp Kindergarten and older July 15-19 1:00-3:00
Tumbling Camp Kindergarten and older July 22-26 1:00-3:00
Tumbling Camp Kindergarten and older Aug.5-9 2:00-4:00
RAD Women's Self defense
RAD Basic defense INTEREST LIST 2024
RAD Advanced INTEREST LIST 2024
RAD Keychain Defense APRIL 27 12-4PM
INDOOR FAMILY PLAYGROUP
Indoor Playground Monday and Wednesday 9:00-10:30
Eagle River Ballet
Monday Ballet
Wednesday Ballet
Thursday Ballet
BIRTHDAY PARTY
Have confirmed date
Requesting availability
If check "Other leave a message below"
Other
Other special, medical, or emergency information we should know. Leave blank if "N/A"
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
I grant permission for the participant's picture to be taken for the purpose of general media or press release from the Alaska Moving Arts programs.
I grant permission for the participant's picture to be taken for the purpose of general media or press release from the Alaska Moving Arts programs
Yes
No
After submitting this form you may return to the website to pay the registration fee via Pay Pal or pay with check or cash when you come to class. THE INSTRUCTOR WILL EXPECT YOUR VISIT TO THE CLASS YOU CHECKED.
Additional Contact information
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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