Guardian Signature Date. Consent for Emergency Medical Care I give consent for emergency medical care to be secured for the participant in the event of an emergency. I will be responsible for the emergency medical charges upon receipt of the statement.
Guardian Signature Date. Acknowledgement of Electronic Completion By electronically completing these acknowledgement(s), I swear that I am the parent/guardian of the participant, I have the authority to complete and execute this document, and the information contained in this document is accurate to the best of my knowledge. Parent/Guardian Signature Date Acknowledgement of Canopy Policy and Procedures Handbook I acknowledge that I have received and read the 2018-2019 Canopy Policy and Procedures Handbook and that I have reviewed it with my child. I understand the policies, procedures, guidelines, rules, and expectations outlined in the Handbook are only a summary of all Canopy policies and rules, and that I am subject to and must abide by all Giant Steps policies. I also understand that a violation of any of Giant Steps’ polices and rules may lead to disciplinary consequences. I further understand that the Handbook may be amended during the year without notice.
Guardian Signature Date. Parent Permission for World Wide Web Publishing of Student Work We understand that our daughter’s/son’s work (art, writing, etc.) may be considered for publication on the World Wide Web, a part of the Internet. No home address or telephone number will appear with such work. We grant permission for publishing on the World Wide Web as described above. A copy of all work published on the World Wide Web will be printed out and sent home with the student.
Guardian Signature Date. I, the student, give permission for publishing my work on the World Wide Web.
Guardian Signature Date. I, the student, give permission for the use of text messaging, instant messaging and/or social media for school related matters. Student Signature Date NOTE: Federal law requires the District to monitor online activities of minors.
Guardian Signature Date. Consent for Community Transportation I give consent for the participant to participate in scheduled trips to and from the Lisle and Sugar Grove location, scheduled community outings and be transported via Giant Steps owned vehicles (including mini-vans, 10, 12, and 15 passenger vans), and shuttle buses), as well as contracted buses or vehicles, and/or walking while enrolled at Giant Steps/Canopy. I understand all such trips are under the supervision of Giant Steps staff members and that health and safety precautions are taken as appropriate. Parent/Guardian Signature Date Acknowledgement of Participant Absence Procedures I understand Giant Steps’ policy requiring me to notify Canopy each day that the participant will be absent. I understand that it my responsibility to notify the program in a timely fashion by calling (000) 000-0000, extension 3 as well as emailing the Program Manager and Service Liaison. I will leave the following information in a voicemail and email: the participant’s name, program name, and reason for the absence. I understand that it is also my responsibility to notify the participant’s transportation provider (e.g., bus company, cab company, etc.) if applicable each day that the participant is absent. Parent/Guardian Signature Date Consent for Use of Sunscreen/Bug Repellant I give consent for Giant Steps/Canopy staff to apply sunscreen and/or bug repellant to the participant when going out into the community (e.g. parks, playgrounds, swimming pools, walking and community trips, etc.,) with their discretion to the needs of the weather at the time of the community trip. Giant Steps/Canopy staff will make every effort to ensure that health and safety precautions regarding sun exposure are taken as appropriate, but they are not liable for sunburns or exposure for the participants. Parent/Guardian Signature Date Authorization for Electronic Access Giant Steps has the ability to enhance each participant’s programming through the use of Giant Steps’ electronic network, including the Internet. Our goal in providing access is to promote diversity of and enhanced programming by facilitating resource sharing, innovation, and communication. Participants and/or their parents/guardians must sign this Authorization form annually. Giant Steps filters access on its electronic network to protect against pictures or videos that are obscene, pornographic, or otherwise harmful or inappropriate in the Canopy setting. However, it is impossible to guarantee ...
Guardian Signature Date. Section 4 : In case of an injury to my child while in the care, custody, or control of the School, I will hereby waive all claims against CCNS, its Directors, Facilitators, Teachers, Volunteers, and Members of all responsibility for any injury, loss, or damage which my child might sustain while participating in any CCNS activity. Parent/Guardian Signature Date CCNS Parent Consent Form CCNS assumes responsibility for the child once the parent(s) or guardian(s) make eye contact with the teacher and the child has been greeted. The School’s responsibility ends when the responsible adult arrives to pick up the child. All children must be signed in upon arrival and must be signed out at the end of the day. This is for liability purposes.
Guardian Signature Date. I have read and understand the rules and regulations pertaining to the use of on-line and technology resources, as stated. I understand that as a condition of my obtaining a User access number and for using these resources, I must abide by these provisions and applicable law. Failure to do so may result in disciplinary action, loss of on-line services privileges and the possibility of criminal and/or civil legal sanctions. I hereby agree to fully comply with the terms and conditions. Student Signature Date:
Guardian Signature Date. This document is to be kept at the school for the duration of the student’s attendance.
Guardian Signature Date. Mother/Guardian Signature Date____________ How did you hear about us? ❑ Referred by Current Family ___________________ ❑ Parishioner of Nativity or St. Xxxxx ❑ Post Card Mailing ❑ Facebook/Social Media ❑ Internet Search ❑ Other_________________________ 2020-2021 School Year Tuition: For Reference (New rates will be published in January, 2021) For Contributing Parishioner Families (Nativity BVM, St. Xxxx Xxxxxxxxxx or other subsidizing parishes)* Early Education (Note: Multiple student rates also apply to Early Education if there is at least one other sibling in grades 1-8. See rates below for 2 or more students.)
