Request Membership

Fill out the form below and click the Continue button at the bottom.

MEMBERSHIP AGREEMENT

I have read and agree to adhere to the complete ETC Policies, including the Code of Conduct and Financial Policies. I understand the stated Purpose and the Statement of Faith by which the Leadership Team will make decisions for the group. I also understand the purpose of the Participation Requirements. I agree to fulfill these requirements and pay the Membership Fee and other Activity and Consortium Fees for those activities for which I sign up. I agree that my family will attend required Orientations and participate in ETC activities in accordance with these guidelines. (All policies and referenced documents are published at etcnwa.com.)

LIABILITY RELEASE

I understand that there may be risk associated with the events, functions, or activities in which I, my children, family members, or guests participate through the Eclectic Teaching Consortium, hereinafter referred to as ETC, whether operating as an organization or corporation. In consideration of the right to participate in these events, I hereby agree to release, waive, and hold harmless ETC, its leadership, members, and volunteers from any and all liability, loss, or damage and any claim or demands for the same for any of the following: (a) bodily injury of any kind or death to any person participating in any ETC event, function or activity; (b) damage to any property arising out of or related to my, my family’s, or any guests attendance or participation in any ETC event, function or activity. I agree to be personally responsible for myself, my own children, my own family members, and my guests at all times when participating in any ETC event, function, or activity. I also agree to take full financial responsibility for any damages caused by me, my children, my family members, or my guests, to any property, and I, therefore, agree to indemnify ETC and its leaders and volunteers for any such damages for which they may be charged.

CONSENT TO AUTHORIZE MEDICAL TREATMENT  

I/We, the Legal Guardian(s) hereby grant ETC, ITS LEADERS, and ITS CHAPERONES AND VOLUNTEERS full authority to take whatever actions they may consider warranted under emergency circumstances for my child’s health and safety. I/We understand that no medical insurance is provided by ETC covering illnesses or injuries of any nature incurred during any event. That is, it is the responsibility of each participant to provide his or her own insurance coverage.

I certify that I am the legal parent or guardian of the participants listed below and that I have fully read and fully agree to everything in this document. I hereby join in each and every part of the release and hereby relinquish any claim that I might have against ETC and its chaperones.

PHOTO PERMISSION

I hereby grant the ETC permission to use my likeness and the likeness of my children, family members, and guest in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration. I understand and agree that all photos will become the property of the ETC and will not be returned.

I hereby irrevocably authorize ETC to edit, alter, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photo

STUDENT DRIVER AND TEEN DROP-OFF AGREEMENT

In the case of students over the age of fourteen who are dropped off for activities such as Consortium or Teen Activities, the parent or guardian of dropped-off students is responsible for permission for his or her child to arrive, leave, or drive. ETC Leadership and volunteers WILL NOT monitor, enforce, or assume risk for parental guidelines regarding arrival, departure, or mode of transportation. That is solely the responsibility of the parent to set family boundaries. If the parent has concerns, they are encouraged to attend events with their child. All events are scheduled for specific times and a child should respect the start and end times of each event. Violation of ETC policies or a lack of consideration of scheduled activities and common courtesy may mean the child is allowed to attend future events only in the accompaniment of a parent. By sending your child to the teen events without a parent/guardian/chaperone you are agreeing to the policy.

COMMUNICABLE DISEASE LIABILITY WAIVER

As an extra precaution, all families, must read and agree to the following communicable disease and COVID-19 safety measures. By completing this application and signing the accompanying form, you are indicating you have read and agreed to all the information here. 

I acknowledge the contagious nature of communicable diseases, including the Coronavirus/COVID-19, and that the CDC and many other public health authorities still recommend practicing social distancing.
I further acknowledge that ETC cannot guarantee that I will not become infected with a communicable disease, including the Coronavirus/COVID-19. I understand that the risk of becoming exposed to and/or infected by a communicable disease, including the Coronavirus/COVID-19, may result from the actions, omissions, or negligence of myself and others, including, but not limited to, ETC board members, teachers, volunteers, and their families.
I do acknowledge that I am increasing my exposure risk to communicable diseases, including the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending ETC events.

 

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Additional Questions

Please indicate what programs or activities you will be involved in for the upcoming or current school year.















Membership Fee Payment Options

Your registration fee and signed  Registration Form is required before your ETCNWA account can be activated.  Please print and fill out the  Registration Form and mail it with check or money order to:  ETCNWA, P.O. Box 1757, Bentonville, Arkansas  72712.  Aternatively, you may pay through the website and scan your registration form and email it to [email protected]

The annual family fee is $125.00 for new or returning families and $75 for renewing families.  As part of membership your family will be able to participate in all ETC calendar events.  Some activities, Consortium classes, and other events may incure an additional cost.

If you would like to help sponsor a family in need, you can make an additional tax-deductible donation through the above means.  

Please contact Michelle Johnson at [email protected] for more information about fees and payments.

Payment Instructions

Please print and fill out the Registration Form and mail it with a check or money order to ETC, P.O. Box 1757, Bentonville, Arkansas  72712. 

The annual family membership fee for the 2022-2023 year is $125.00 for NEW MEMBERS OR $75.00 for CURRENT-RETURNING MEMBERS who fulfilled their service requirements.  Renewing members will be invoiced the membership fee with your Consortium bill. 

Service for this year may be selected through the attached form "Volunteer to Serve ETC".  Service on at least one service team is required of all members.

You will be notified via email when you can log in. Make sure you save the user name and password you just entered because you will need them to log in.

If you would like to help sponsor a family in need, you can make an additional tax-deductible donation.  Please contact Michelle Johnson at [email protected] for more information.

Please contact the Leadership Team at [email protected] with any additional questions.

We pray that your involvement in ETC is a blessing to your entire family.

Thank you.

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