BAHAY KUBO€¦ · BAHAY KUBO 2016 REGISTRATION FORM Student’s Name Parent’s Name/Registered By...
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Center for Philippine Culture and Arts BAHAY KUBO 2016 REGISTRATION FORM Student’s Name Parent’s Name/Registered By Phone Home Address Email Age of Student LFP FMA SAYAW Date of Birth I give Bahay Kubo Center my consent to use my (or my child's) image in photos and videos, for the exclusive distribution of Bahay Kubo Center's media‐related material, includingnewspaper articles, website, advertisement and promotional flyers, posters and mailers, oral and video presentations, and other Bahay Kubo Center related purposes. I authorize Bahay Kubo Center to include my email address in their database for the sole purpose of distributingnews, announcements, invitations and other Bahay Kubo Center information. No email addresses will be used or offered to any third parties for any reason not stated above. I understand that by signingbelow, I will not be refunded or credited for missed sessions. I will follow all rules of conduct as stated in the Bahay Kubo Center Code of Ethics. Bahay Kubo has the right to change venue if necessary and will always be in the San Fernando Valley. Bahay Kubo is a non‐profit organization. Name of Registering Party Signature of Registering Party Date
BAHAY KUBO€¦ · BAHAY KUBO 2016 REGISTRATION FORM Student’s Name Parent’s Name/Registered By Phone Home Address Email LFP FMA SAYAW Age of Student Date of Birth ˜ ˜ I˜give˜Bahay˜Kubo˜Center˜my˜consent˜to˜use˜my˜(or˜my˜child's)˜image˜in˜photos˜and˜videos,˜for˜the
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I give Bahay Kubo Center my consent to use my (or my child's) image in photos and videos, for the exclusive distribution of Bahay Kubo Center's media‐related material, including newspaper articles, website, advertisement and promotional �yers, posters and mailers, oral and video presentations, and other Bahay Kubo Center related purposes.
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I authorize Bahay Kubo Center to include my email address in their database for the sole purpose of distributing news, announcements, invitations and other Bahay Kubo Center information. No email addresses will be used or o�ered to any third parties for any reason not stated above.
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I understand that by signing below, I will not be refunded or credited for missed sessions. I will follow all
rules of conduct as stated in the Bahay Kubo Center Code of Ethics. Bahay Kubo has the right to change
venue if necessary and will always be in the San Fernando Valley. Bahay Kubo is a non‐pro�t organization.
Name of Registering Party
Signature of Registering Party
Date
