Authorizations
Participation: I, {pgname}, permit {childfirst}'s participation in all VYFS-authorized activities, e.g. campus forest play("Dwabu") & VYFS's collection & use of any media of {childfirst} for curricular, internal, and/or promotional purposes. In the event of celebrations & parties, my child has my permission to wear nontoxic, temporary tattoos, facepaint, and/or stickers.
School Exchange of Information Understanding all information is treated as confidential, per FERPA, I, {pgname} authorize communication by staff of VYFS/Vashon Kids & Vashon Island School District #402 on behalf of {childfirst}'s education & growth. My consent may be withdrawn in writing at any time: withdrawal does not apply to information already exchanged under prior consent for release.
Medical treatment: I authorize {childfirst}'s CPR & 1st aid treatment by qualified staff. If I cannot be contacted, I also permit {childfirst}'s transport by aid vehicle to emergency services. I further permit disclosure of health information & medical, surgical, and/or hospital treatment & procedures (ie. administration of necessary anesthetics, tests, x-ray, transfusions, injections, drugs) performed for {childfirst} by a licensed physician or hospital, when deemed immediately advisable by the physician to safeguard my child's health.
Release from Liability: Recognizing VYFS does its best to ensure a safe experience, I understand & agree to assume the risks of accidents that may occur both from {childfirst}'s participation in or transportation to/from program activities.
In signing, I release VYFS, its employees, volunteers, independent contractors, directors, & agents from all liability based on any damage, loss, or injury caused to my child or me, whether through ordinary negligence or otherwise, by participation in VYFS programs.
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PARENT/GUARDIAN STATEMENT OF UNDERSTANDING
Policies for child safety & protection: please review carefully before signing.
I UNDERSTAND THAT:
- As the registering adult, I am responsible for my child's tuition payments.
- All financial, attendance, enrollment, other business documents will be provided only to the registering adult.
- I have free access to program areas used by my child, & opportunity to participate in program activities. I understand that this participation may require me to go through a screening process & that if my participation obstructs the program in any way, this privilege will be revoked.
- I must not leave children at the VYFS or program site w/VYFS staff to receive.
- Children will not leave the program with unauthorized persons.
- For my child's safety, if a person arrives to pick up my child & appears under influence of drugs or alcohol, staff may be forced to contact police.
- I will be informed of my child’s progress and/or issues related to their care and
- Any of a child's parents/legal guardians may request this information.
- Childcare* staff are mandated, by state law, to report any suspected cases of child abuse or neglect to the appropriate authorities for investigation.
*in addition to mandated reporters, other VYFS staff are encouraged to report suspected cases of abuse, because we care about children. Staff are protected from liability for good faith reporting.
Additionally, I understand and agree to the below behavioral expectations, and have reviewed the current Family Handbook and its contained philosophy, procedures, and policy including:
- Disaster Preparedness Plan (in handbook)
- Pet Policy (in handbook)
- Pesticide Policy (in handbook)
- Statement for Prevention of Abuse (in handbook)
I am the/a legal guardian of {childfirst} {typeA184}. I understand the above and have completed this form to the best of my ability.
SIGN HERE:![]()
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