ENROLLMENT AGREEMENT
This Agreement is made and entered into between Fervent Beginnings (“School”), which operates a child care facility at 904 Cooper Road, Voorhees, NJ 08043 and {parentName} (“Parent” or “Guardian”), residing at {parentAddress}.
The Parent/Guardian wish to enroll their child {fullName1} (“Child”) at Fervent Beginnings Before and After Care Program.
Fervent Beginnings wishes to accept {fullName1} into their program.
CONSENT
I, the Parent, or Guardian, consent to the participation of my Child in all activities organized by Fervent Beginnings (“Activities”), and agree on behalf of the above minor to all of the terms and conditions of this Agreement. By signing this Release of Liability, I represent that I have legal authority over and custody of Child.
RELEASE OF LIABILITY
In exchange for participation in all activities organized by Fervent Beginnings, and/or use of the property, facilities and services of Fervent Beginnings, I agree for myself and for the members of my family, to the following:
AGREEMENT TO FOLLOW DIRECTIONS. I agree to observe and obey all posted rules and warnings, and further agree to follow any oral instructions or directions given by Fervent Beginnings, or the employees, representatives or agents of Fervent Beginnings.
ASSUMPTION OF THE RISKS AND RELEASE. I recognize that there are certain inherent risks associated with enrolling Child at Fervent Beginnings.
I recognize there are certain inherent risks associated with School Activities, including but not limited to potential exposure to COVID-19, injury, loss, or damage to myself or my family members.
I recognize and understand that Fervent Beginnings will abide by all state and federal guidelines in regard to the operation of a child care facility during the coronavirus, COVID-19, pandemic.
I assume full responsibility for all of the risks associated with Child’s enrollment. I further release and discharge Fervent Beginnings for any sickness, injury, loss, or damage arising out of my or my family's use of the facilities and services of Fervent Beginnings, whether caused by the fault of myself, my family, Fervent Beginnings or other third parties.
INDEMNIFICATION. I agree to indemnify and defend Fervent Beginnings against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family's use of or presence upon the facilities of Fervent Beginnings.
MEDICAL AUTHORIZATION
In the event of an injury to the above minor during School Activities, I give my permission to Fervent Beginnings or to the employees, representatives or agents of Fervent Beginnings to arrange for all necessary medical treatment for which I shall be financially responsible. This temporary authority will begin on September 14, 2024 and will remain in effect until terminated in writing by the undersigned or June 30, 2025, whichever occurs first. Fervent Beginnings shall have the following powers:
The power to seek appropriate medical treatment or attention on behalf of my child as may be required by the circumstances, including without limitation, that of a licensed medical physician and/or a hospital;
The power to authorize medical treatment or medical procedures in an emergency situation; and
The power to make appropriate decisions regarding clothing, bodily nourishment and shelter.
HEALTH STATEMENT
As the parent/guardian of the above named child, I certify that he/she is in good physical health and may participate in the normal activities of the program and has no conditions or specific needs that require specific accomodations, unless otherwise indicated in the medical information provided above or an attached Universal Health Record or a Care Plan for Children with Specials Health Needs.
EMERGENCY TREATMENT
As the parent(s)/guardian(s) of the above named child, I (we) attest that the informaiton above is correct. I (we) authorize the child care center staff to obtain emergency treatment for my child and understand that I (we) shall be promptly notified.
MULTIMEDIA RELEASE
I give my consent for Fervent Beginnings to photograph or record video of me and/or my child while on School premises or while participating in School Activities. I understand that the photographs, digital images, or video segments may be used in print or electronic media and that the photographs may be displayed on websites owned or sponsored by the School. I give the School permission to publish, exhibit, and distribute these materials. I understand that Fervent Beginnings will own the copyright to the multimedia material in which I, or my child may appear.
APPLICABLE LAW
Any legal or equitable claim that may arise from participation in the above shall be resolved under New Jersey law.
ENFORCEABILITY
The invalidity or unenforceability of any provision of this Agreement, whether standing alone or as applied to a particular occurrence or circumstance, shall not affect the validity or enforceability of any other provision of this Agreement or of any other applications of such provision, as the case may be, and such invalid or unenforceable provision shall be deemed not to be a part of this Agreement.
DISPUTE RESOLUTION
The parties will attempt to resolve any dispute arising out of or relating to this Agreement through friendly negotiations amongst the parties. If the matter is not resolved by negotiation, the parties will resolve the dispute using the below Alternative Dispute Resolution (ADR) procedure.
Any controversies or disputes arising out of or relating to this Agreement will be submitted to mediation in accordance with any statutory rules of mediation. If mediation does not successfully resolve the dispute, then the parties may proceed to seek an alternative form of resolution in accordance with any other rights and remedies afforded to them by law.