Summer Learning Academy Registration - Center for Workforce Development

We are excited to provide the Summer Learning Classes at NO COST!

We want to be sure our classes are well attended for the best possible student experience. A $10 administrative fee will be charged per class if not attended without prior notification.

Name*

First

Last

Date of birth*

MM/DD/YYYY

Age*

What grade will your child have completed by May 2024?

Gender

Male

Female

Address*

City*

State*

ZIP code*

Parent/Guardian Information

Parent/Guardian Name*

First

Last

Email*

Please use a reliable email address as this is our main source of communication.

Parent

Guardian

Primary phone*

Secondary phone

Photography Consent

I grant East Central College permission to use the photographs of the above mentioned child, in publicity materials, including, but not limited to, its websites.

Is there anything we should know about your child so we can help them have their best enriching experience?

Attendance*

I acknowledge I will be charged a $10 administrative fee for each class not attended on the day and time scheduled without prior notification.

Acknowledgment of Risk and Waiver of Liability

If you are under the age of 18, this form must be signed by your parent or legal guardian.

In consideration of my participation in the East Central College Summer Learning Academy and the activities for which I have registered (the “Activity”), I represent, covenant, and agree as follows:

I acknowledge that participating in the Activity involves certain risks and that injuries, death, property damage, or other harm could occur to me or others. I accept and voluntarily incur any and all risks of any injuries, damages, or harm which arise during or resulting from my participation in the Activity, regardless of whether it was caused in whole or in part by the negligence of the Board of Trustees of the East Central College, its officers, trustees, faculty, agents, representatives, volunteers, students, and employees. (“Released Parties”).

I hereby waive all claims against any of the Released Parties for any injuries, damages, losses, or claims, whether known or unknown, which arise during or result from my participation in the Activity, regardless of whether caused on while or in part by the negligence or other fault of any of the Released Parties. I release and forever discharge the Released Parties from all such claims.

I agree to indemnify and hold harmless the Released Parties from all losses, liabilities, damages, costs, and/or expenses, including, but not limited to reasonable attorneys’ fees and other litigations costs and expenses, incurred by any of the Released Parties as a result of any claims or suits that I, or anyone claiming by, under or through me, may bring against any of the Released Parties to recovery any losses, liabilities, damages, costs, and/or expenses which arise during or result from my participation in the Activity, regardless of whether caused in whole or in part by the negligence or other fault of any of the Released Parties.

Acknowledgment of Risk and Waiver of Liability*

I am 18 years of age or older and I have carefully and thoroughly read and reviewed this Acknowledgment of Risk and Waiver of Liability. I understand it fully and voluntarily execute it.

Summer Learning Academy Policies

Contact us two weeks before the class begins if a student isn’t planning to attend. This will provide us the opportunity to enroll other interested students.
The drop off and pick up of a student will be no more than 10 minutes before the class and after the class schedule. Parents must accompany any child under the age of 16 into and out of the building.
A student who is excessively disruptive in class may not be eligible to return.
ECC's current COVID policy is that masks are welcome, but not required; however, this is subject to change as the requirements are being reviewed and assessed based on community data and CDC guidelines. There are a few classes that will require masks.

Parent/Guardian Signature (required)

Please sign to verify that you agree to the Summer Learning Academy policies.

Clear

Courses

Prioritize your interest in SLA classes. After 3 courses, you will be placed on a waiting list for additional courses of interest.

Location*

Course 1*

Course 2

Course 3

Course 4

Course 1*

Course 2

Course 3

Course 4