ESL Classes Name(Required) First Last Email(Required) Phone Number(Required) Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code English Proficiency Level (please check one):(Required) Beginner Intermediate Advanced Terms and Conditions(Required)I declare that I am in good physical health and that I am able to participate in the “Minh Dang Quang Meditation Center ESL Class”. However, if I should experience any physical or health problems during the event and I am unable to continue, I will leave voluntarily. If medical care is required for any illness that may occur, I will be fully responsible for the charges. Should any accident occur due to my own negligence or intentional act or any undiscovered sickness that I may have during the event, I will be solely responsible and will not hold the organizer or any of its employees, staff, or volunteers liable. During the event, if I experience any extraordinary physical conditions which interfere with the practice of other participants, I will accept the directions of the organizer and leave the class without dispute. If medical care is required, I authorize the organizer and its staff and volunteers to exercise its best efforts to render medical aid, and I will be fully responsible for the charges and will reimburse the organizer for any and all hospital, medical and other expenses incurred. In the case of an emergency, I authorize the organizer to take any reasonable immediate action in their best efforts. Minh Dang Quang Meditation Center reserves the right to take photographs, images, video, or audio recordings of any and all classes and activities during the event for temple records, website and future publications. I acknowledge agreement to the terms of participation. Δ
