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Jink & Diddle School of Scottish Fiddling ~ Minors Form

Full Given Name*

Status

AccompaniedUnaccompanied

Housing

On campusOff campus

Name of Parent / Guardian*

Relationship*

Not all sections of this form are applicable to all minors. Please check the heading of each section against the Status / Housing options you selected above.

UNACCOMPANIED / OFF-CAMPUS - I the parent / guardian of

hereby acknowledge that s/he has been accepted to the Jink & Diddle Summer Session as an UNACCOMPANIED minor between the hours of 9 AM & 9.30 PM daily. (If you are completing this section, you must agree to the NON-RESIDENT CLAUSE below.)

I understand

... that the student will consequently be subject to all the school's rules for unaccompanied minors.

I also understand

... that I or my designee must be on campus by 9.30 PM daily to take responsibility for the student.

I agree to the NON-RESIDENT CLAUSE.

UNACCOMPANIED / either ON or OFF-CAMPUS - I the parent/guardian of

address below three required topics on behalf of my minor child named above - 1. Transportation 2. Pick-Up Arrangement 3. Student Agreement

TRANSPORTATION PERMISSION

I grant the TRANSPORTATION PERMISSION

I hereby give permission for my child to be transported to any school-sponsored group activity in the company of a representative or designee of the school.

PICK-UP ARRANGEMENT

will collect my child from The Inn at VCCC, Valle Crucis NC

on Date - at Time

when the school session ends.

I understand

... that a matching state or federal photo ID may be required to release the child into the adult's custody.

I confirm the PICK-UP ARRANGEMENT - must specify name, relationship, date & time above.

STUDENT AGREEMENT

I have discussed the STUDENT AGREEMENT with my child

Please do so (see foot of page for copy of Student Agreement), then check the box to indicate compliance.

Minor's Signature

TO THE MINOR APPLICANT - typing your name above indicates that you have read, understood and agree to abide by the Student Agreement presented at the foot of this page.

ACCOMPANIED (by parent)/ ON-CAMPUS - I the parent / guardian of

hereby affirm that I will retain full responsibility for him/her while s/he is participating with me at Jink & Diddle. (If you are completing this section, you must confirm the ACCOMPANIED CLAUSE 1 below.)

I understand

... that because of my retaining this responsibility s/he will not be subject to the school's rules for unaccompanied minors.

ACCOMPANIED (by other) / ON-CAMPUS - I the parent / guardian of

hereby affirm that I delegate full responsibility for him/her while s/he is participating at Jink & Diddle to

who will be attending concurrently. I further affirm that the participant has agreed to accept this responsibility. (If you are completing this section, you must confirm the ACCOMPANIED CLAUSE 2 below.)

I understand

... that because of my delegating this responsibility to an amenable adult participant the minor student will not be subject to the school's rules for unaccompanied minors.

I confirm

the ACCOMPANIED CLAUSE 1the ACCOMPANIED CLAUSE 2 - must specify name above

SIGNATURE OF PARENT / GUARDIAN

Step 1 - Check the box below

Agreement

By checking this box and typing my name below, I am electronically signing this agreement.

Step 2 - Type in your name between forward slashes

NOTE - When the screen goes blank after you submit, scroll up to see confirmation that your submission was successful.

Thank you!

We have received your submission. See return link options.

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STUDENT AGREEMENT
While attending the Jink & Diddle School of Scottish Fiddling, I agree to attend all offered classes and events each day. I understand the daily schedule will include morning, afternoon and evening classes which run from 9 AM to 9 PM daily. I further agree that I will not leave the bounded areas of the VCCC campus in use by the fiddle school without the express permission of a staff member of the Jink & Diddle School or its assigned designee. I further agree that I will keep the youth counselor appraised of my whereabouts at all times and will follow his/her directives.

The Jink & Diddle School of Scottish Fiddling is an undertaking of Fiddletree Music, Inc.

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