Richard H. Bryan ES

Symbolic Art encourages artistic expression and a love for learning at:
Richard H. Bryan Elementary

Richard H. Bryan Elementary is located at:
8050 Cielo Vista Ave, Las Vegas, NV 89128

CURRENT SYMBOLIC ART PARTICIPANTS
WHO'VE ALREADY COMPLETED A REGISTRATION FORM
PLEASE CLICK ON A SESSION BELOW TO ADD TO CART

Annual Registration (each child)

$25.00

Daily Fun Play Club (PM) Session

$20.00

Weekly Fun Play Club (PM) Session

$40.00

"NEW" SYMBOLIC ART PARTICIPANTS
PLEASE COMPLETE THE PROGRAM REGISTRATION FORM
AND PROCEED TO SELECTING A SESSION BELOW AND ADD TO CART

**PROGRAM REGISTRATION FORM *RHB**
Please Note: "Required" fields followed by an asterisk must be filled in

* Indicates required field

Insert Child's Name *

First

Last

DATE OF BIRTH *

Name of School *

Insert The Name(s) of Sibling(s) "N/A" if Not Applicable *

NAME OF SIBLING'S SCHOOL "N/A" IF NOT APPLICABLE *

Insert Sibling(s) & Date of Birth N/A if Not Applicable *

Please Indicate "Any" Allergies or Special Needs To Be Noted Insert "N/A" if not applicable *

Enrolling Parent or Guardian's Name *

First

Last

Enrolling Parent's or Guardian's Email *

Insert Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Insert WORK Phone *

Insert The Name & Phone # To Receive Text Messages *

Insert Emergency Contact Information *Include: Name, Relationship & Phone Number *

Insert Name(s) of anyone other than parent, guardian or emergency contact who may pick up Child(ren) *

How Did You Hear About Symbolic Art @RHB? *

Please Indicate The Last Symbolic Art Event Attended *

Fee Disclosure*

An 'annual' registration fee: $25 is required for each new participant enrolled in Symbolic Art programs; Symbolic Art fees include: Daily/$20, Weekly/$40 *Symbolic Art participants are eligible to attend "Free" workshops throughout the week. *Enrollment fees are non-refundable in the event participant is absent from the program. Payments may be made in cash, money order, Paypal or credit card. Payments will only be accepted from adults listed on this form. A $10 late fee may be assessed for each :15 minutes past 6:30 p.m. (e.g. 6:45 pm / pick up = +$10)

Agree & Consent *

I UNDERSTAND THE ABOVE & CONSENT

Sign-In & Sign-Out

To protect the safety of our children I understand each child must be signed in and out daily. The only person(s) authorized to pick up the child(ren) are those listed on this form. A photo ID must be shown to pick up

AGREE & CONSENT *

I UNDERSTAND THE ABOVE & CONSENT

Children "will not" be released without proper identification "and" with prior written authorization from the enrolling parent/guardian. *Acceptable written authorization include persons named on this enrollment form or submitted via Email

AGREE & CONSENT *

I UNDERSTAND THE ABOVE & CONSENT

In the case of joint custody disputes - Symbolic Art staff will comply "Only" with "Written" instructions directed by court order on file with Symbolic Art (if applicable)

AGREE & CONSENT *

I UNDERSTAND THE ABOVE & CONSENT

Waiver of Claim*

For ourselves, and/or on behalf of our child named above, our heirs, affiliates, executors, and administrators, we hereby do expressly and forever waive and release Symbolic Art Central, Inc dba, "Symbolic Art" and their respective officers, employees, agents or representatives from any and all liability for personal injury or damages, sustained, incurred, arising from or connected with travel to, return from any and all classes, tournaments and/or special events, and all activities related to, or in connection with said activity by ourselves or by our child. *Symbolic Art is a community based organization focused on making sports, recreation and artistic expression fun for youth ages 4-14. During programs or events Symbolic Art staff may take photos of participants that may be used in professionally designed publications, websites, promotional materials and social media platforms.

AGREE & CONSENT *

I UNDERSTAND THE ABOVE & CONSENT

Parent Letter*

I have received, read and understand the contents of the parent letter

AGREE & CONSENT *

I UNDERSTAND THE ABOVE & CONSENT

Please Type Your Name Acknowledging You
Accept Symbolic Art Terms & Conditions*

Name *

First

Last

Submit Registration Form

ONCE YOU HAVE COMPLETED THE REGISTRATION FORM ABOVE PLEASE CLICK ON A SESSION BELOW TO ADD TO CART

Annual Registration (each child)

$25.00

Daily Fun Play Club (PM) Session

$20.00

Weekly Fun Play Club (PM) Session

$40.00