Rainbow Learning Academy Music, Dance, Art and
Sculping Classes Registration Form
Parent/Guardian Name_______________________
Email ____________________
Address __________________________
Phone#_________________
Student Name_______________________
Student Age________
I hereby release, hold harmless, defend and indemnify The Rainbow Learning Academy,
from any and all damages, injuries and causes of action which may accrue to or be asserted
by me or any minor child of mine arising directly or indirectly from my minor child's
participation in Art classes.
I agreed to pay extra $100.00 per month for the fee to attend the Art classes.
Parents Name_______________________
Signature __________________________
Date ______________________________