After Care RegistrationPlease fill out our form below to register for After Care Student Name * First Name Last Name Birth Date * MM DD YYYY Gender * Male Female Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Parent/Legal Guardian Information * First Name Last Name Phone * Country (###) ### #### Parent/Legal Guardian Email * Parent/Legal Guardian Information * First Name Last Name Phone * Country (###) ### #### Parent/Legal Guardian Email * Other Emergency Contact (Different From Parent/Legal Guardian) * First Name Last Name Phone * Country (###) ### #### Relationship to Child * In the event of an emergency, may we release your Child to your emergency contact? * Yes No School Information * Child's School Name School's Dismissal Time * Child's School Grade * Program Start Date * MM DD YYYY Please list any allergies or medical conditions you child has. Put "None" for none. * How did you hear about our After School Program? * OMAC Website Community Event Instagram Facebook Google Friend Referral Other If a Friend referred you to FHTKD, please let us know who! Emergency Consent * Student Absences It is our policy that the parent or legal guardian of each child is to notify Forest Hill Taekwondo Staff when their child will NOT need pickup. Should your child be absent from school or not need to be picked up by the After Care program, Forest Hill Taekwondo must be notified by phone, no later than 2:00pm. In the event the phone is not answered, we ask that a message be left with the date of the absence, your child’s full name and the school they attend. Please be aware that failure to provide notice of your child's absence before 2:00pm on the day of their absence will result in a fee of $5.00 paid to Forest Hill Taekwondo. After Care Payment Plan REGISTRATION FEE (For New Students Only): This one-time REGISTRATION FEE payment is $149+HST. This fee is mandatory and includes reservation of spot in program and an OMAC Uniform. *GRAND OPENING SPECIAL - Registration Fee Waived and Free Uniform for the first 100 students!* OMAC After School monthly tuition will be withdrawn of the first of each month from September 2024 through to June 2025. Note about this form: your credit card information will not be saved on this form, it will be used to pay for the Registration Fee ONLY. An OMAC representative will contact you directly to receive your payment information for the membership tuition. I wish to pay OMAC After School monthly tuition by: * Credit Card (OMAC will be in contact for this information) Pre-authorized payment via Void Cheque (OMAC will be in contact for this information) As parent or guardian, I agree to the above Payment Plan and to pay all tuition fees when due. * First Name Last Name Signature * Date * MM DD YYYY Policy * Cancellation Policy I hereby submit my application for registration with OMAC WORLD CLASS MARTIAL ARTS. I understand that the After School Program requires a commitment for the entire school year. I understand that a 30-day notice of cancellation for the After School Program will be required. After the 30-day notice period, a cancellation fee of $149+hst will be applied. Any tuition payment made prior to the 30-day cancellation notice will not be refunded. A person may transfer between OMAC programs after the 30-day notice period to avoid the cancellation fee. Following the 30-day notice period and payment of the cancellation fee, all other tuition fees will be terminated. I understand that any contract paid in full at the time of registration is 100% non-refundable. All Memberships are transferable to immediate family members. This agreement shall not renew automatically and is the responsibility of the [Signee] to commence a new contact should they wish to continue services with OMAC WORLD CLASS MARTIAL ARTS. I understand that this is a full-time afterschool program operating for the full school year and therein requires tuition payable to OMAC World Class Martial Arts to be paid each month in full regardless of time taken off for vacation/trips of any kind. NOTE: Students must stay home to quarantine due to being sick. Notice to Parents and Legal Guardians OMAC’s after-school program offers your children with the opportunity to gain valuable skills in various martial arts and is considered exempt from child care licensing requirements otherwise required under the Ontario Child Care and Early Years Act, 2014 (the Act). OMAC’s after-school program is considered as an “authorized recreational and skill building program” under the Act. As an authorized recreational and skill building program, OMAC must ensure that the following requirements are adhered to: • We place an emphasis on martial arts training and other recreation as part of programming; • We only accept enrollments for students who are at least four years of age or who will turn four years of age during the calendar year in which they first enroll; and • The after-school program will be operated on weekdays for no more than one period of three or fewer consecutive hours each day. Consent * I agree to waiver of liability form. I agree to media consent form. Thank you!
