Campbell Elementary
SPRING SEMESTER 2026

Student Information **ALL FIELDS REQUIRED**

Student Name:

Student Age:

Grade of School:

Parent/Guardian Name(s):

Address:

City:

State:

Zip-code:

Phone (of Parent/Guardian)
Home:

Cell:

Email Address (of Parent/Guardian):

Emergency Contact
Name:

Phone Number:

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How did you hear about Aspire?

FacebookWebsiteNewspaperReferralOther
Please explain other or list person who referred you to Aspire:

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STATEMENT OF POLICIES

1. Release of Liability:
In consideration of entering onto the premises of Campbell Elementary or Oakview Elementary and participating in activities of Aspire! Conservatory conducted on said premises, I agree to assume full responsibility for my/my child's activities while present on the premises, and I knowingly and freely assume all known and unknown risks, including but not limited to falls, disease transmission, and acts of other persons on the premises, whether accidental or deliberate. I agree to comply with all rules, regulations and procedures imposed by the leadership of Aspire and Campbell Elementary or Oakview Elementary; and I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless Aspire! Conservatory and Campbell Elementary or Oakview Elementary, their officers, directors, employees and other officials with respect to any injury, disability, death, or damage to my person or property, whether caused by the acts of said persons, by others on the premises, or by acts of God.

2. I understand that during the course of participation with Aspire! Conservatory, photographs and/or video clips may be taken during lessons, classes and performances which may be used for promotion/publicity.

3. Parents/Guardians will follow the school sign-out policies when picking students up after class.

4. While participating in classes by Aspire! Conservatory, students are expected to be on their best behavior showing respect for the instructors, other students, and the facility itself. In the event that a students’ behavior is not compliant with the expectations, parents will be consulted, and the student may be dismissed from the program. Fees will not be refunded for students who are dismissed for
inappropriate behavior.

5. Only online payments are being accepted for this class. You will receive a payment reminder each month via email and Remind.com. Payments can be made at www.aspireconservatory.com/payment/. Please choose "LARGE GROUP CLASS" when paying online.

6. Cancellations initiated but the student/parent will not be refunded/credited.
Classes cancelled by the instructor or the school system will be made up the week following the end of stated semester. If more than one class is cancelled by Aspire or the school, refunds will be made for the missed class.

Signature of Parent/Guardian (if applicable):

Intitials

Date:

I hereby attest that I have read the Aspire! Statement of Policies. My signature above confirms my compliance with this document and I understand that I am submitting my signature in digital form.

I accept Aspire's terms and conditions

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