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Fall 21 Information and Release Form
Pickup / Emergency Contact Info:


Terms & Conditions:

Please read carefully and acknowledge that you understand and agree to the terms set forth below by ticking the two checkboxes.

Release of Liability*

I acknowledge that Let's Playgroup is organized and always maintained  with the students’ safety and security a top priority, but accidents may happen. I understand that playgroup is held outside in a public park   and that my child will be participating in physical outdoor activities  (incl. running & climbing),  which may involve wood branches, sticks, stones and earth.

While Let’s Playgroup will follow and implement measures according to CDC and  NYS DOH guidelines, I understand  that there is a risk of exposure to  COVID-19 associated with my child’s  participation in playgroup,  including but not limited to social contact other children.

To help reduce the spread of COVID-19 and to protect Let’s Playgroup’s  employees and other children, Let’s Playgroup encourages all children and parents to adhere to all safety and health guidelines, as outlined   in  Let’s Playgroup’s Fall 2021 guidelines .

Notwithstanding the foregoing, I understand that the above guidelines do not completely eliminate my child’s risk of exposure to COVID-19 and, should my  child experience any COVID-19 related symptoms (such as fever, cough, body  aches, or shortness of breath), I am advised to keep my child home, not to bring my child to Let’sPlaygroup, and follow the advice of my  healthcare provider, clinic, or hospital. In such case, I will   immediately alert Let’s Playgroup of such symptoms.

Regardless of any steps taken by Let’s Playgroup to reduce the risks associated   with outdoor activities and/or the COVID-19 pandemic, I knowingly and freely, assume all such  risks, both known and unknown, relating to my child’ care at Let’s Playgroup, including arising from, or relating to outdoor activities and/or COVID-19.

In consideration of Let's Playgroup accepting this registration and  permitting the participation  of the above named child in such  activities, which I believe to be  educational, on behalf of myself and  my family, I hereby release, discharge, indemnify and hold harmless Let's Playgroup, its employees, representatives and agents from any and  all claims,  actions and  liabilities arising out of or in connection with the above named child’s participation in any aspect of the activities provided, even in the  case of Let's Playgroup's negligence.

I agree to the terms listed in the "Release of Liability" above.
I have read and understood the Let's Playgroup Fall 2021 guidelines
Tuition, Payment & Cancellation*

Tuition for the fall semester can be paid in full, two or in  four installments.

A non-refundable deposit of 25% of the tuition is required and due upon execution of this agreement. The deposit will be applied towards the last installment, with the  remaining three (3) installments due on the first day of September, October and November respectively.

If we have to cancel playgroup due to inclement weather, we will offer a make up day. Make ups need to be completed within the semester and cannot be carried over to the Spring 22 term.
There are no refunds or credits for days missed due to illness, travel or any other reason; a make up day is possible solely at our discretion and only if there is space.
If a parent/family needs to cancel playgroup at any time during the course the spring semester a 2 week written notice needs to be given and 50 % of the remaining tuition shall be paid, unless a suitable replacement is found.
If we have to cancel a playgroup day or more due to (a child’s or teacher’s) symptoms of COVID-19, we will offer make ups for the missed days. If we have to close playgroup due to city/state regulations, we will refund 50% of the days missed.

I agree to the terms listed in "Tuition, Payment & Cancellation" above.

Media Release*

I do hereby consent and agree that Let’s Playgroup - Playing with Nature  has the right to take pictures and short videos of my child and use them on their own website and social media accounts without compensation. My child’s name and identity  will not be revealed.

I agree to the terms listed in the "Media Release" above.


By  signing this form electronically I certify that my answers are  correct and complete. I am the legal guardian/parent of the child  listed above and I agree to the terms listed in this form .