Skip to the content
Home
CBE Homepage
TC Homepage
Stay Connected on Facebook
Catalog
Upcoming Classes
Kids’ College 2023
Arts & Crafts
Bladesmith
Computer Education
Culinary Arts
CPR / BLS / First-Aid / ACLS
Emergency Medical Technician / Paramedic / Fire Academy
General Interest
Healthcare Courses
Industry Skills
Music & Dance
Sports & Fitness
My account
Cart
Menu
Home
CBE Homepage
TC Homepage
Stay Connected on Facebook
Catalog
Upcoming Classes
Kids’ College 2023
Arts & Crafts
Bladesmith
Computer Education
Culinary Arts
CPR / BLS / First-Aid / ACLS
Emergency Medical Technician / Paramedic / Fire Academy
General Interest
Healthcare Courses
Industry Skills
Music & Dance
Sports & Fitness
My account
Cart
Search
Search
Close this search box.
Home
CBE Homepage
TC Homepage
Stay Connected on Facebook
Catalog
Upcoming Classes
Kids’ College 2023
Arts & Crafts
Bladesmith
Computer Education
Culinary Arts
CPR / BLS / First-Aid / ACLS
Emergency Medical Technician / Paramedic / Fire Academy
General Interest
Healthcare Courses
Industry Skills
Music & Dance
Sports & Fitness
My account
Cart
Menu
Home
CBE Homepage
TC Homepage
Stay Connected on Facebook
Catalog
Upcoming Classes
Kids’ College 2023
Arts & Crafts
Bladesmith
Computer Education
Culinary Arts
CPR / BLS / First-Aid / ACLS
Emergency Medical Technician / Paramedic / Fire Academy
General Interest
Healthcare Courses
Industry Skills
Music & Dance
Sports & Fitness
My account
Cart
$
0.00
0
Cart
Search
Search
Close this search box.
Home
/
Kids’ College 2023
/
Kids’ College Information form
Kids’ College Information form
Kids’ College Information form
"
*
" indicates required fields
Student Name
*
First
Last
Parent / Guardian information
This information will only be used to contact during Kids' College.
Parent / Guardian Name
*
First
Last
Emergency Phone
*
Work Phone
Cell Phone
Email
Emergency information
If I cannot be reached to make plans for emergency care for my child, I give my permissions for Texarkana College to take my child to:
Hospital
*
Doctor
include phone number
Child's known allergies or significant medical history:
Agreements
I understand photos may be taken for marketing purposes. Should I opt my child out, I understand it is my responsibility to make staff aware of my request in writing.
I agree
I understand Texarkana College is not responsible for any items (i.e. clothing or money) my child may bring to class.
*
I agree
I have discussed/will discuss inappropriate behavior with my child and am aware inappropriate behavior will result in removal from the program.
*
I agree
I understand that in the event of thunder and lighting, I will be required to come into the Truman Arnold Student Center to pick up my child.
*
I agree
Animal Disclaimer: My kids may participate in activities involving live animals during Kids' College.
I agree
Release of Liability Statement
I state that I assume full responsibility for any accident or personal injury that might befall my child due to participation in Kids’ College activities. I assume this responsibility with full acceptance of the risks, known and unknown to me at this time. I further state that my child has no known health problems, conditions, or concerns which may preclude them from safe participation in a classroom/physical activity program, and agree to inform the instructor of any minor concerns which may develop. I give permission for my child to be transported by Texarkana College faculty, staff, or volunteers to and from the location of their related Kids’ College activity. I hereby hold harmless and release Texarkana College from all liability arising out of any injury, loss, claim, or damage which may be sustained by my child due to participation in Kids’ College activities.
I state that I have read this document, agree with its terms, and I am signing this contract voluntarily.
*
Type name & relation to child
Pick-up information
List 3 names as options to pick up children
*
Add
Remove
These will be the only ones allowed to pick up child
Have a question?
Let us know.
Ask a question!
Healthcare
Business
Community
Bladesmith