216A GODWIN AVENUE
MIDLAND PARK, NJ 07432
(201) 444-2976
needlecraftschool.com
[email protected]
Fall Classes Begin Monday, September 21st
Children’s Class Information (Pre-K to High School)
August 15, 2015
One Session Registration Fees
Five 1½ hour classes – $150.00 REGISTRATION FEE IS NON-REFUNDABLE
Choose the class (day and time) New Student: $50.00;
that works best for you.
Class reservation, including supplies and
Students attend class for the materials for the first project.
five consecutive weeks.
Returning Student: $25.00;
Class reservation, including materials
for first project.
**NEW! TRY-IT-OUT Class** Starting October 3rd
Saturday Mornings, 9:15-10:45am - $25.00,
make a pillow case or drawstring backpack
(includes use of sewing supplies and material for project.)
SCHEDULE
SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY
Class 1 Class 1 Class 1 Class 1 **Try-It-Out**
3:30pm- 3:30pm- 3:30pm- 3:30pm- 9:15-10:45am
5:00pm 5:00pm 5:00pm 5:00pm
Class1
Class 2 Class 2 Class 2 Class 2
11:00am-
5:00pm- 5:00pm- 5:00pm- 5:00pm- 12:30pm
6:30pm 6:30pm 6:30pm 6:30pm
Class 2
12:30pm-
2:00pm
Class 3
2:00pm-3:30pm
Needlecraft School Policies
August 24, 2015
Children’s Classes
" One Session = 5 Classes. From our scheduled classes, choose the day and time that work best and
student will attend that class for 5 consecutive weeks.
Missed Classes
" I must be notified of absences if your child cannot attend class. (Make-up Class - Your child can attend
class on a mutually agreed day or time within the 5-week session.)
" If I am not notified prior to class start time that your child will be absent, you will be charged for
the missed class.
Class Registration
" In order to secure a spot for your choice of class day and time, registration fee and form must be
submitted one week prior to start date.
" Registration fee includes class reservation, sewing supplies (scissors and metal gauge), and materials
for first project. Material costs not included for additional projects.
" Tuition for the session is due on the start date.
Try-It-Out Class
" We offer a one-time trial class for $25.00.
" Please call to reserve a spot (201) 444-2976.
Adult Classes:
" I must be notified if you are not attending a scheduled class. If I am not notified prior to class start
time that you will not be attending, you will be charged for the missed class.
" Any missed classes may be made up on an alternate day during the 5-week session.
" Single-class reservation requires a $15.00 deposit. Deposit non-refundable if not notified of
cancellation or absence before the start of class.
Private Lessons:
" Private lesson reservation requires a 50% deposit. Deposit non-refundable if not notified of
cancellation or absence before the start of lesson.
216A Godwin Avenue
Midland Park, NJ 07432
(201) 444 – 2976
http://needlecraftschool.com
Student Information (Pre-K to High School)
NAME: First Last
AGE:
ADDRESS: State: Zip:
City:
CONTACT Home
INFORMATION
Cell
Email
How do you prefer to be reached? HOME CELL EMAIL ANY
(Please circle)
EMERGENCY CONTACT Name
Phone
Relationship
School Child Attends:
How did you hear about Needlecraft?
When are you interested in starting? (M/D/Y):
/
/
PLEASE LIST ANY HEALTH CONCERNS OR OTHER NEEDS WE SHOULD BE
AWARE OF:
Please return completed form with appropriate registration fee to above address.
Thank you
Eva I. Rodriguez and Staff
Needlecraft School LLC
216
Godwin
Avenue
Midland
Park,
NJ
07432
PHOTO/VIDEO
PERMISSION
SLIP
–
9/2015
to
8/2016
August
15,
2015
Throughout
the
school
year,
the
school
staff
takes
photos
of
the
students
and
their
projects.
We
like
to
post
photos
on
social
media,
(Needlecraft
School
website,
Facebook:
Needlecraft
Sewing
School,
Instagram:
needlecraft_school).
There
are
service
projects
that
have
been
recorded
on
camera
or
video,
for
example.:
making
pillows
for
soldiers
overseas;
and
photos
of
the
Annual
Fashion
Show
appeared
in
the
local
paper
that
were
photographed
by
news
personnel.
Please
be
sure
to
check
your
response,
and
sign
and
date
below.
Return
slip
as
quickly
as
possible.
Thank
you!
Student’s
Name:
(Please
Print)
_________
May
have
photograph/video
taken
and/or
displayed.
_________
May
NOT
have
photograph/video
taken
and/or
displayed.
If
you
would
like
to
add
any
additional
comments,
please
use
box
below:
(ex:
photos-‐‑no
name,
website
only,
etc.)
Parent/Guardian
Name:
______________________________________________________________________________
(PLEASE
PRINT)
Signature
Date
Needlecraft School LLC
August 15, 2015
Waiver of Liability, Release, Assumption
of Risk and Indemnity Agreement
The purpose of this Agreement is to exempt, waive and relieve Needlecraft School LLC
from liability for personal injury and property damage, including negligence, if any, of
Needlecraft School, LLC. Needlecraft School, LLC includes its members, officers,
employees, agents, and volunteers.
The Student and the parent(s) or legal guardian(s) of the Student, if applicable, waive,
release and relinquish, any and all claims for liability and cause(s) of action, including
for personal injury, property damage or wrongful death occurring to the Student,
arising out of participation in any activity of Needlecraft School, LLC or any related
activity, whenever and wherever they occur, and for such period the activities may
continue, and by this Agreement, any such claim, rights, and causes of action that the
Student and his/her parent(s) or legal guardian(s), if applicable, may have, are hereby
waived, released and relinquished, and the Student and his/her parent(s) or legal
guardian(s) does (do) so on behalf of The Student, Student’s parent(s) or legal
guardian(s), and their heirs, executors, administrators, and assigns.
Student and his/her parent(s) or legal guardian(s) acknowledge and understand all
risks relating to participation in any activities of the Needlecraft School, LLC, and
understand that such activities involve risks to Student’s self, including bodily injury,
partial or total disability, paralysis and death, and damages, which may arise
therefrom and that Student and his/her parent(s) or legal guardian(s), if applicable,
have full knowledge of said risks. These risks may be caused by the negligence of the
Student or the negligence of others, including Needlecraft School LLC. The Student
and his/her parent(s) or legal guardian(s), if applicable, further acknowledge that
there may be risks and dangers not known or reasonably foreseeable at this time.
Student and his/her parent(s) or legal guardian(s), if applicable, acknowledge,
understand and agree that all of the risks and dangers described throughout this
Agreement, are included within the waiver, release and relinquishment described in
this Agreement.
If the law in any controlling jurisdiction renders any part of this Agreement
unenforceable, the remainder of this Agreement shall nevertheless remain enforceable
to the full extent, if any, allowed by controlling law.
Student and his/her parent(s) or legal guardian(s), if applicable, agree if any claim for
Student’s personal injury or wrongful death is commenced against any or all members
of Needlecraft School LLC, Student and his/her parent(s) or legal guardian(s), if
applicable, shall defend, indemnify and save harmless Needlecraft School LLC from
any and all claims or causes of action by whomever or wherever made or presented for
the Student’s personal injuries, property damage, or wrongful death.
The Student and his/her parent(s) or legal guardian(s), if applicable, acknowledge that
they have been provided with and have read this Agreement and have not relied upon
any representations of Needlecraft School LLC, that they are fully advised of the
potential dangers of participating in Needlecraft School, LLC activities or related
activities, and have read this Waiver of Liability, Release, Assumption of Risk and
Indemnity Agreement and fully understand its contents. The Student and Student’s
parent(s) or legal guardian(s) signs this Agreement of his/her own free will.
Signature of Student (18 years of age or older):
Name of Student (please print):
Parent or Legal Guardian Signature (if Student is under 18 years of age):
Signed on this Date