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Information and Release Form
Vitals:

                                                                                                      

Pickup Info:

                                                                                                      

Terms:
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 playgroup is organized and always maintained with the students’ safety in mind, but accidents do 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.


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.

Tuition & Payment*

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 month’s tuition. Tuition is payable in full at the beginning of each month.

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 website without compensation. My child’s name and identity will not be revealed. 

Signature*

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 .

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