Trial Class - Parent Liability & WaiverProgram SelectionSelect the program(s) you’d like to try *Robotics / CodingMathEnglishArtsSpeech & DebateDate of Trial *Student InformationFull Name *Date of Birth *Grade LevelSelect:KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12Current School Name *Parent / Legal Guardian InformationFull Name *Phone *Email Address *Emergency ContactFull Name *Phone *Photo & Media ReleaseI grant permission for my child to be photographed, video-recorded, or audio-recorded during the free trial class for educational or promotional purposes (including website, social media, or printed materials). *YesNoAssumption of Risk & Liability WaiverI understand that Big Dream Academy / STEAMS Education Hub programs may involve hands-on activities, equipment, group interaction, or online learning. I give permission for my child to participate in this free trial and release Big Dream Academy, Big Dream Education, and their staff from liability to the fullest extent permitted by law. I affirm that my child is physically, emotionally, and developmentally able to participate safely.Consent & SignatureI certify that I am the legal parent or guardian of the student listed above and that the information provided is accurate.Date *Parent / Guardian Name (Typed Signature) *Submit
