Triumph Academics Registration

You will fill out one form per student. Once you submit this form, kindly fill it out again for each of your children who will be participating in our high school program. Thank you.

Family Name *

E-mail *

Confirmation Email

Contact Phone # *

Dad's Name *

First Name Last Name

Dad's Cell

Mom's Name *

First Name Last Name

Mom's Cell

Home Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Student *

First Name Last Name

Birth Date *

Month Day Year

Kindly choose which class(es) you wish to take. $150 per class, per semester. *

	Yes	No
U.S. History (Fall 2019).
U.S. Government (Fall 2019)
U.S. History (Spring 2020)
Economics (Spring 2020)

Comments

I/We, the parent(s)/legal guardian(s) of the child(ren) listed below, hereby grant permission to OCMA to use any photograph of my/our child(ren) for the OCMA Yearbook, OCMA Promotional brochures and materials, the OCMA Website, Facebook, and in any other official publications without further consideration, and I/We acknowledge OCMA’s right to crop or treat the photograph at its discretion. In addition, I/we give permission for OCMA and its Board of Directors to make, use, copyright and publish news stories, still photographs, and/or video or audio recordings. I/We also acknowledge that performances might be photographed or videotaped by the media and give my/our permission for my/our child(ren) to be included.

I/We also understand that once my image is posted on OCMA’s website, or Facebook, the image can be downloaded by any computer user. Therefore, I/We agree to indemnify and hold harmless from any claims the following:

Mr. Hallman, Executive Director, Chris Zuniga, Administrator, Sharon Brown, Controller, or any other OCMA instructor, OCMA Board of Directors, OCMA Website Designers, Parents of the other students, OCMA Photographers, (both amateur and professional) Any practice or performance location.

NOTE: OCMA will post a warning indicating that the photos are the property of OCMA and should not be used without written permission.

Photographer release form:

Any photograph (digital or print) or any video/audio presentation submitted by any person named on this form may be used by OCMA for the OCMA Yearbook, OCMA Promotional brochures and materials, the OCMA Website, Facebook, and in any other official publications without further consideration, and I/We acknowledge OCMA’s right to crop or treat the photographs and edit video or audio submissions at its discretion.

Do you agree to the Photo Consent? *

Yes, I/we agree.

Payment Method *

$155 per class per semester by PayPal including major credit cards (includes PayPal processing fee) $150.00 per class by check

Enter the message as it's shown *

You will receive an email confirmation. Be sure to print the PDF attachment as well as the completed Medical Release Form and bring them with you to the first day of class.

Remember to submit a registration form for each student participating.

Once you click SUBMIT, you will be redirected to the payment page of our website. Thank you!

Triumph Academics Registration

OCMA Photo Release Form

Tuition: $150 per class per semester