Completed Forms Are Due by Friday, September 25, 2015, along with the $100 fee for October. Financial Aid:
For those seeking financial aid, please attach a copy of your free/reduced lunch determination letter.
Youth Rocks Afterschool Program Tuition Policy Tuition and Fees
Tuition for the 2015 Youth Rocks Afterschool Program is $100 per month with discounts for members and families enrolling more than one child; discounts cannot be combined.
Payments are due on the 1st of each month. Payments can be made via cash, card, or check made payable to The Woody Guthrie Center.
This program is made possible thanks to generous donations from the following: Frederic Dorwart Lawyers
I understand that every effort will be made to contact me in the event of an emergency requiring medical attention for my child. However, if I cannot be reached, WGC staff may have my child transported to the nearest appropriate medical facility to secure the necessary medical treatment for my child.
Child’s Physician:_______________________________ Physician’s Phone:_______________
Health Insurance Provider:______________________________________________________________
Please answer the following questions.
Does your child have any allergies:________________________________________________
If yes, please explain (Symptoms, Medication)______________________________________
Woody Guthrie Center
102 East Brady St. Tulsa, OK 74103
Tulsa, OK 74103
Photo and Image Release Form In consideration of the furtherance of the purpose, objectives, and work of The Woody Guthrie Center, (I) the undersigned, hereby grant permission to The Woody Guthrie Center and its agents to take photographs and/or video recordings, and/or audio recordings of my child(ren)
to use for educational or promotional purposes. My child’s name or personal information is never included with his/her photo without additional written permission.
City, State, Zip:__________________________________________________________________