1. I, the undersigned parent or legal guardian, authorize my child to attend and participate in activities at Mi Escuelita en Español (“the School”). In consideration of the School permitting participation, I, on my own behalf and on behalf of my child, fully release and waive any claims against the School, its employees, directors, agents, volunteers, sponsors, and affiliates (collectively, “Released Parties”), for any injury, illness, loss, damage, including but not limited to bodily injury, illness, disability, or death, related to my child’s participation, unless caused by the gross negligence or willful misconduct of the Released Parties.
2. Indemnification & Defense
I agree to defend, indemnify, and hold harmless the Released Parties against any and all claims, including legal defense costs and attorney’s fees, brought by third parties or on behalf of my child arising from my child’s actions or participation in School programs, regardless of fault. This indemnity applies to any claim except those arising from the intentional acts or gross negligence of the Released Parties.
3. Medical Treatment Authorization
In case of medical or dental emergency, I authorize the Released Parties to secure treatment for my child and agree to assume all costs incurred.
4. Immunization Acknowledgment Statement –
By signing this form, I acknowledge and certify that my child is up to date with all immunizations required by law in the State of California for children up to 5 years of age, as established by the California Department of Public Health.
I understand that this is an outdoor, nature-based camp where children learn, explore, and connect with the environment through group experiences and caring adult supervision. I recognize that maintaining current immunizations is part of supporting the health, safety, and well-being of all children and staff in the program.I confirm that the information provided is true and accurate to the best of my knowledge, and I understand that this acknowledgment helps us maintain a safe, respectful, and healthy community for all participating families.
5. Assumption of Risk
I understand and accept that participation in daily activities (such as arts, crafts, dance, games, playground play) carries inherent risks of injury or illness, and voluntarily accept such risks on behalf of my child.
PLEASE SEND YOUR CHILD WITH COMFORTABLE CLOTHES AND SHOES. ADDITIONALLY A SMALL BACKPACK WITH: