Registration and Waiver Form
  • Registration & Waiver

  • CHILD INFORMATION:

  • Payment Method Preferences:

    The Program Director will take these preferences into account when sending you payment requests.
  • PARENT/GUARDIAN INFORMATION:

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Emergency Contact

  • Format: (000) 000-0000.
  • MEDICAL INFORMATION

  • Additional Information

  • CODE OF CONDUCT

    The safety of each individual in the program is of the utmost importance to THE PORTLAND TEACHER’S COLLECTIVE. Each registrant must recognize a personal responsibility to learn and follow at all times the safety and conduct rules established by THE PORTLAND TEACHER’S COLLECTIVE staff. I hereby agree that any behavior of the registrant that places themself or others at risk may result in the registrant’s immediate dismissal from the program. THE PORTLAND TEACHER’S COLLECTIVE is a safe and inclusive space. Any acts of discrimination, harassment, or hate speech by parents or participants will be grounds for full dismissal. Further, if dismissed from the program, I agree to cover any expense(s) arising from such dismissal. I hereby acknowledge and agree that no refund will be granted for dismissal or removal of the registrant before the end of a program session. In order to ensure the safety and well‐being of all individuals participating in the program, THE PORTLAND TEACHER’S COLLECTIVE reserves the right to alter the program at any time without notice or compensation to the Registrant.  

    AGREEMENTS & PROGRAM REQUIREMENTS

    Parents/ guardians agree to adhere to the following agreements to the best of their ability.

    1. Students will be sent to school with required weather appropriate gear and a change of clothing as outlined in the school handbook.
    2. Parents will provide students with a nourishing and healthy lunch and snack for each day of school.  We request that parents refrain from sending multiple high sugar items to best support student learning & experience.
    3. Be on time. Each program is provided with a drop off and pick up window to best accommodate the fluctuation of traffic and acknowledge the unpredictable nature of preparing kids for their day. We ask that parents do the best they can to honor the drop off/ pick up timeline out of respect for the community's time and experience. Pick up later than 10 minutes may incure a $2 per minute charge.
    4. We are a community. Staff and parents/guardians agree to work toward resolution of any issues with the program in good faith and respectful communication. 

     

    Program requirements:

    All preschool students must be fully potty trained and out of diapers/ pullups for the duration of the school day.

     

    By signing below, I verify that I have read and agree to the code of conduct, agreements., and program requirements.

  • CONFIRMATION & PAYMENT

    You will receive confirmation of registration within two weeks of receipt of your completed forms. If you have not received your confirmation of registration within two weeks please contact our Program Registration Office at portlandteacherscollective@gmail.com to make sure your registration was received.

    A non-refundable deposit/supply fee is due per program upon receipt of registration.

     

    Deposit Amount:

     

    Preschool Programs:

    $200 supply plus first months tuition

     

    Homeschool Extension Programs:

    2 day programs: $125 supply fee plus first months tuition

    1 day programs: $100 supply fee plus first months tuition 

     

    For On-going Courses:

    Monthly tuition is due on the 1st of every month. If tuition is not recieved by the 5th of the month, it may be subject to a $20 late fee per day. 

    Payment requests will be made directly from the Program Director and are subject to that teacher’s preferred method of payment. Payment types may include but are not limited to: Cash, Check, or Payment Apps (i.e. venmo, zelle, etc.)

     

    CANCELLATION & WITHDRAWAL POLICY

    Cancellation requests received at least 30 days before the start of the program will receive a refund minus the initial deposit/ supply fee. Cancellation requests received with less than 30 days’ notice will receive a refund minus an administration fee of 50% of the cost of the monthly tuition and the initial deposit/supply fee. Cancellation requests that are received less than 14 days prior to the start of the program being requested to cancel will not qualify for a refund. 

    After the start of the program, a 30 day notice must be given to withdraw before the end of the academic year. Tuition is due for the 30 days leading up to withdrawal from the program.

     

    IF THE PROGRAM IS CANCELLED BY THE PORTLAND TEACHER’S COLLECTIVE, a full refund in the original payment form or in credit for future classes (dependent on program availability) will be issued to each participant.

     

    DISCLAIMER

    All programs are subject to change or cancellation due to low enrollment or other unforeseen circumstances that are prohibitive to the operation of the program.

     

    By signing below I verify that I have read, understood, and agree to the payment and cancellation information above.

     

  • ASSUMPTION OF RISK AND INDEMNIFYING RELEASE

     

    While The Portland Teacher’s Collective staff and instructors will make every reasonable effort to minimize exposure to known risks associated with each Registrant’s participation in a program, I hereby acknowledge that I and/or my child if I am registering on his/her behalf (collectively, the “Registrant”) may be required, depending on the nature of the Program, to participate in various physical activities that may involve risk of injury. In this regard, I agree that I have provided a complete and accurate health history and hereby permit the Registrant to participate in the full range of Program activities, except as specifically noted by me in the health information section of the Program registration (where applicable). In consideration for the Registrant’s opportunity to participate in the Program, the receipt and sufficiency of which is hereby acknowledged, I hereby release and forever discharge the The Portland Teacher’s Collective, its respective officers, directors, employees, volunteers and agents, and their respective successors and assigns, from any and all liability for damages sustained in consequence of loss, injury or damage to the Registrant, and from all other actions, causes of action, claims, demands or damages of any kind with respect to death, injury, loss or damages to any person or property arising out of or connected with preparation for, or participation in, the Program.

     

    MEDICAL EMERGENCIES

     

    In the event of an accident, injury or illness involving the registrant, and immediate contact by The Portland Teacher’s Collective with a designated contact cannot be made, I hereby authorize and grant permission to The Portland Teacher’s Collective staff to secure proper medical treatment and authorize on the registrant’s behalf all procedures, including, without limitation, admission to an emergency unit, hospital and treatment therein, ordering of x‐rays, tests or treatment, injections, anesthesia and/or surgery, as deemed necessary by the attending medical professional(s). I agree not to hold the The Portland Teacher’s Collective responsible for any costs or injury arising out of an emergency situation.

     

    By signing below, I verify that I have read, understood and agree to the above statements.

  • COMMITMENT TO PRIVACY

     

    The Portland Teacher’s Collective is committed to protecting personal information by following responsible information handling practices. We collect and use information you volunteer when you access or register for a Portland Teacher’s Collective program, in order to better meet your service needs, to ensure a safe environment, for statistical and assessment purposes, to inform you about the Program in which you are registered, and to satisfy government and regulatory requirements. You may also hear from us periodically about other Portland Teacher’s Collective programs, services and opportunities that may interest and benefit you.

    By signing below I agree to the above uses of my information.

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