Student Registration Form "*" indicates required fields Contact InformationStudent Name* Parent's Name Cell Phone*Home PhoneEmail* Address Street Address City State / Province / Region ZIP / Postal Code Promotional Materials ConsentCan we publish your child's picture/video in our promotional materials and/or website ? Yes No GoalsShare any specific goals or expectations you have from this courseStrengths List two of student's strengths and weaknessesStrengths:Weaknesses:Our Policy We will not share or sell your personal information to any third parties. Hold Harmless/Indemnity AgreementI indemnify, hold harmless and defend Orator Academy and its Owners, agents and affiliates from all suits & actions, including reasonable attorney's fees and all cost of litigation and judgement of every name and description against the said program as a result of loss, damage or injury to person or property by reason of my action or omission by myself.* I Agree.*I indemnify, hold harmless and defend Orator Academy and its Owners, agents and affiliates from all suits & actions, including reasonable attorney's fees and all cost of litigation and judgement of every name and description against the said program as a result of loss, damage or injury to person or property by reason of my action or omission by myself.I, indemnify, hold harmless and defend Orator Academy from all suits and actions, including reasonable attorneys' fees and all costs of litigation and judgement of every name and description against the named individual as a result of loss, damage or injury to person property by reason of any actions or omission by Orator Academy and its Owners, its agents, employees and affiliates.* I Agree.*I, indemnify, hold harmless and defend Orator Academy from all suits and actions, including reasonable attorneys' fees and all costs of litigation and judgement of every name and description against the named individual as a result of loss, damage or injury to person property by reason of any actions or omission by Orator Academy and its Owners, its agents, employees and affiliates.Click here to read policy.* I Agree. COVID-19 Liability Release Waiver Policy*Click here to read policy.Our Policy We will do our level best to provide a safe, healthy and inclusive learning enviornment to our students. Δ
