Parent Agreement As
parent or legal guardian responsible for the minor child named below, I warrant that I have discussed
the above behavior expectations with my minor child before attending any BLC program, class or activity. I
warrant that my child fully understands these rules and is in agreement with them. I understand and agree that if my
child violates the behavior expectations he/she may be expelled from the program. In such a case I understand I am not entitled
to a refund of any payment.
Parent's electronic signature/date: Type
your name and date
* required
Student's (over 14 years) electronic signature/date: Type
your name and date
* required
Name of Activity, workshop or program:
* required
Name and age of your student:
* required
I have read and agree to the above terms and conditions
I do not agree to the above terms and conditions. I understand I will not be allowed to enroll.
Signed, parent, please type your full legal name and date:
* required
Family Residential Address:
* required
Daytime phone number in case of emergency:
* required
* required
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