Magic Registration Magic Registration 24-25 Name * Name First First Last Last Email * Phone * Emergency Contact Name * Name First First Last Last Phone * Relationship to Family Student Information Full Name * Full Name First First Last Last Preferred Name Age * Are you registering this student for Magic School or Mini Magicians? * Magic School ($600) Junior Magicians ($300) Mini Magicians ($300) Please share any medical, behavioral, or other concerns/information we need to know about your child. * Does your child have any allergies or dietary restrictions? * Yes, my child has an allergy or dietary restriction No, my child has no allergies or dietary restrictions Please list all dietary and allergy restrictions. * * I understand it is my responsibility to discuss allergies and dietary restrictions with each activity’s lead * If my child is unable to communicate their allergies or dietary restrictions, I understand it is my responsibility to be present as a helper in the activity. plus1 Add Another Student minus1 Remove this Student Do you consent to your child being photographed for Social Media and Website purposes? * Yes No I have downloaded and read the magic handbook and accept the terms. * Yes We reserve the right to background check all magic participants and teachers for criminal records and child safety issues. If issues pertaining your criminal record deem you to be unsafe around children we will contact you and we reserve the right to refund. * I consent Signature * signature keyboard Clear Please note: Teachers receive a $10 discount per class they teach or co-teach in. If you would like to volunteer as a teacher or an assistant. You can volunteer to teach here. Please wait until you have been approved for volunteer duties and received your volunteer discount code before signing your students up. Your discount can be used on either program as long as you are a teacher in one of them. Estimated Total before Discounts SJHA offers a payment plan for all Magic School and Mini Magicians participants. The initial payment for this is 1/3 of your total cost. The remaining 2/3 of your cost will be broken into 4 equal payments. Example: Registering 2 students for magic school would equal $1200. $400 is due upfront, and there will be 4 equal payments of $200. Registering 1 student for Magic School and 1 student for Mini Magicians would equal $900. $300 would be due upfront, and there will be 4 equal payments of $150. Payment Option * Paid in Full Payment Plan (5 payments – 1/3 due upfront. Remaining 2/3 broken into 4 payments) Teacher Code Lookup Total Total Submit Start Over If you are human, leave this field blank.