NEW MEXICO CHINESE SCHOOL OF ARTS AND LANGUAGE YOGA REGISTRATION FORM

Semester: 2017 Fall First Name: Last Name: Email: Phone: Home Address:

Hospital Preference: Emergency Contact Name and Phone:

Tuition Total: *Please make check payable to: NM CHINESE SCHOOL *Tuition: $120 per adult Requirement: Please bring a yoga mat for yourself. Loose pants are recommended. This class is for parents who have kids enrolled in Chinese class only.

Maximum number of students: 18. First come, first serve.

*Please read and sign below (required): I, the undersigned, hereby understand and agree that I will not hold the New Mexico Chinese School of Arts and Language or AIMS@UNM, their officers, teachers, staff, and volunteers liable for any injury or property damage I may sustain while participating in the activities of the New Mexico Chinese School of Arts and Language. *Please read and sign below (required): I, the undersigned, hereby understand and agree that I will grant full permission to the NEW MEXICO CHINESE SCHOOL OF ARTS AND LANGUAGE to use either my photograph/video in school’s publication or advertising materials (printed or on school website). This consent also serves to waive all rights of privacy or compensation which I may have in connection with the use of my photograph/video.

Signature:

Date: