The Santa Cruz Forest School
The Santa Cruz Forest School

Registration Form 2019-20

The Santa Cruz Forest School
$30 non-refundable fee due with form

 

Child’s Name:  ________________________________________

Date of Birth:   ______________________  
Mailing Address: ________________________________________________________________________

 

Parent/Guardian(s) Information:
Name: _______________________________Relationship: _____________

Phone: ________________
Name: _______________________________Relationship: _____________

Phone: ________________
E-mail address: ______________________________________________________________________
Emergency Contact: ____________________________________________

Phone: ________________

Which program are you registering for?      T/Th ___     W ___
Is the student toilet-trained?  ___________   

Medical concerns and/or food allergies: ______________________________________________________________________________
Other things you would like us to know about your child:  ____________________________________________________________________________________                                                                                                                                             
Do you give the SCFS photo permissions for your child that may appear on the Forest School Facebook page and/or website?   YES __    NO__

 

The Santa Cruz Forest School Release of Liability 
PARENTAL INFORMED CONSENT AND RELEASE / INDEMENITY / HOLD-HARMLESS AGREEMENT

 

I, the undersigned, in consideration of participation in the Santa Cruz Forest School program, agree to indemnify and hold harmless all teachers and parents participating in this program and release The Santa Cruz Forest School from any and all liability for any injury which may be suffered by individuals participating in this program.  I understand that participation in The Santa Cruz Forest School involves a certain degree of risk that could result in injury or death.  I fully understand that I assume all risks for any injuries incurred by my child and/or myself. Having full confidence that precautions will be taken to ensure the safety and well-being of my child, I have given ___________________________ my consent to participate in The Santa Cruz Forest School.


Signed ___________________________________________               Date______________

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