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BCDI NYS Sankofa Experiences standard lo

Sankofa Saturdays @ BRICK Rochester Academy

Rochester, NY

REGISTRATION

 2 Ways to Register

1.  Complete the online form below
OR
2.  Download the registration form to fill out and bring the completed form to BRICK Rochester Academy 2 Austin Street in Rochester or email to programs@bcdinys.org

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Child's T-Shirt Size
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IMPORTANT: READ THE TERMS AND CONDITIONS BELOW BEFORE SUBMITTING THIS REGISTRATION FORM

By submitting this form your typed name is your signature.

Sankofa Saturdays @ BRICK Rochester Academy Important Terms and Conditions

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Please note: Registration is not confirmed until you hand in signed forms and receive a confirmation notice through email or pick it up in person at 2 Austin St. Rochester 14606.  Session locations and times may change.  If that happens, we will notify you as soon as possible.   Seats are limited.  If the sessions are full, your child will be placed on a wait list.  If you have any questions, email us at programs@bcdinys.org.

 

Please read the information below carefully.

 

By registering and/or participating in Sankofa Saturdays @ BRICK Rochester Academy you acknowledge and consent to the terms below.

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GENERAL WAIVER AND AUTHORIZATION

I/we give my child permission to participate in any and all Sankofa Saturdays Session @ BRICK Rochester Academy activities. I discharge and release from any liability, waive my rights to the fullest extent of the law, promise not to sue, and otherwise agree to hold harmless the Black Child Development Institute – New York State Incorporated (“BCDI NYS”); Brick Rochester Academy (BRICK); and their partners, affiliates, board members, officers, staff, volunteers, instructors, coaches, donors, and sponsors from any liability for injuries, damages, or losses to my child, me, or my family/persons in my charge during and/or related to these activities.  

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I understand and accept that Black Child Development Institute – New York State Incorporated (“BCDI NYS”) and BRICK Rochester Academy ("BRICK") do not have on or about the premises and do not employ or contract with any medical services, or make provisions for ordinary or emergency medical services.   Additionally, I grant BCDI NYS; BRICK; and their agents authority to take whatever action they deem reasonably necessary regarding my child's health and safety, and I fully release BCDI NYS; BRICK; and their partners, affiliates, board members, officers, staff, volunteers, instructors, coaches, donors, and sponsors from any liability in connection with those decisions.  

 

I understand and agree that for the enjoyment, safety, and well-being of all children and staff my child may be removed from activities, the rest of the session day, or from future session days if it is deemed necessary by the program director.

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I understand that completion of this form does not complete the registration process and spaces for Sankofa Saturdays @ BRICK Rochester are limited. I also understand that registration is not confirmed until the signed registration forms are submitted online, emailed, or handed in to 2 Austin St Albany NY 12202 and I receive a registration confirmation notice.  

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