Consent for Emergency Treatment:
I hereby give permission for my child child's full name* to be given emergency treatment by a qualified staff member of Calyx Community Arts School/Service, Education and Adventure (SEA). I also give my permission for my child to be transported by ambulance or aid car to an emergency center for treatment. In the event that I cannot be contacted, I further consent to the medical, surgical and hospital care, treatment and procedures to be performed for my child by a licensed physician or hospital, when deemed immediately necessary or advisable by the physician, to safeguard my child’s health.
   

Acknowledgement of Risk / Waiver of Liability Agreement

I support the philosophy, practices, and curriculum that Calyx Community Arts School promotes through their programming and activities. I grant permission for my child to participate in Calyx activities, which includes outdoor activities at South Whidbey State Park and in the community, and may include water activities such as wading and exploring near waterways, including ocean/lakes/ponds/tide-pools. I acknowledge and understand that having my child participate in activities with Calyx includes inherent risks, hazards, and dangers that cannot necessarily be predicted or controlled. I further understand that not all inherent risks, hazards and dangers can be eliminated, and that the inherent risks of the activities can cause property damage, injury, illness, paralysis or death. I understand the safety and emergency procedures as written in the Parent Handbook, and agree to follow Calyx’s safety and emergency procedures. I have reviewed all of the above and have accurately provided and completed all of the above information and agree to be bounded by the terms and conditions of this agreement.

I agree to release Calyx Community Arts School, Service Education and Adventure, and/or Washington State Parks, their officers, directors, employees, volunteers, agents, or assigns of any and all liability, and responsibility for any loss or damage to property, and/or personal injury, paralysis or death incurred during programming in which my child is participating, unless caused by their gross negligence, willful, or intentional acts.

I have read and agree to all the terms. I confirm that I the Parent or Legal Guardian of child's full name* , have read this wavier and understand it and agree to be bound by it, and that the medical information I provided at the time of registration is correct, honest and up to date.