• Ewa Plains Enrichment Programs & Enrichment Academy Childcare and Tutoring Services

    Parent Consent and Release Form
  •  - -
    Pick a Date
  • Required Section: Medical

  • Payment of medical expenses incurred as a result of injuries sustained by a child/ren does not constitute an admission of liability or waiver of any defense to claims of liability by Ewa Plains Enrichment Programs and The Enrichment Academy.

    If my child/ren needs to be transported by ambulance I consent to Ewa Plains Enrichment Programs and/or Enrichment Academy Childcare and Tutoring Services, LLC to take the appropriate action.
     
    Ewa Plains Enrichment Programs and/or Enrichment Academy Childcare and Tutoring Services, LLC may call my child/ren's doctor, another physician, or emergency hospital for treatment in case of an emergency when neither I nor my spouse or the above-named physical cannot be reached.

  • Clear
  • Section 1: Excursion Permission

  • My child/ren has/have my permission to go on excursions away from the school groups by Honolulu City Bus, Rented or Center’s van, charter bus, or walking. I understand Ewa Plains Enrichment Programs LLC and/or Enrichment Academy will maintain the highest possible safety standards, and I release the program and accompany parents from liability and responsibility in case of an accident. If I do not sign, I agree to provide care for my child at home during the event. I understand the school will not provide alternate care.

    I understand specific event consent forms will require an additional signature.

  • Section 2: Photo, Media, Video, & Story Release

  • I give Ewa Plains Enrichment Programs and/or Enrichment Academy Childcare and Tutoring Services, LLC permission to use photographs, stories about, and any creation for my child/ren, alone or with others. For display or publication and newspaper, magazine standards, books, or sponsored advertisement for profit/fundraising. I absolve and waive any rights or claims to the media for my child.

  • Section 3: Apply Sunscreen and Insect Repellent

  • At Ewa Plains Enrichment Programs and/or Enrichment Academy Childcare and Tutoring Services, LLC your child(ren) has a wonderful outdoor experience, which allows your child(ren) the liberty to enjoy great benefits. We ask that you apply sunscreen daily at home. However, only on water play days, we would like to apply it in the event it fades or washes off. We would like to apply insect repellent-- OFF brand-- after rainy weather.

  • Section 4: Consent To Test

  • The State Department of Health (DOH) specialists cooperate with Ewa Plains Enrichment Programs and/or Enrichment Academy Childcare Tutoring Services, LLC to further define and evaluate developmental areas and do testing.


    If at any time your child/ren is tested by DOH, you will be notified in advance. I hereby give consent to have my child/ren tested.

  • Clear
  • Should be Empty: