RHL Homeschool Clubs Enrollment

Parent/Guardian Information

Emergency Information

We are happy to administer prescribed medicines as needed. Please provide the medicines in their original packaging with instructions for our staff.

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Rising Hill Learning during the selected camp. In exchange for the acceptance of said child’s candidacy by Rising Hill Learning, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Rising Hill Learning from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected sessions.

In case of injury to said child, I hereby waive all claims against Rising Hill Learning.

WILD ANIMAL and WILDERNESS INTERFACE

Rising Hill Learning and the surrounding neighborhood, the Meadows of Altadena, is located within the boundaries of the Angeles National Forest. This provides us with stunning natural opportunities, including hyper-local access to trailheads, fresh canyon air and seasonal streams.

FARM WORK ENVIRONMENT

The yard hosting Rising Hill Learning’s Junior Farmers program has uneven paths and rustic structures. When participating in the Junior Farmers program, children will interact with domestic animals and farming and gardening tools.

o   I acknowledge that while in the Angeles National Forest, my child may encounter native creatures big and small, including but not limited to: spiders, bees, snakes, racoons, bobcats, coyotes, bears and mountain lions.

o   I acknowledge that natural and garden settings provide myriad multisensory opportunities including but not limited to uneven pathways, rocks, sticks, and thorny, pokey or noxious plants.

o   I acknowledge that my child may incur minor injuries while participating, from rustic structures, enclosures, fences, and tools.

o   I understand that when scared or hurt, an otherwise gentle animal may try to communicate with scratches, bites or kicks. I acknowledge that, although unlikely, my child may incur minor injuries while interacting with animals.

Medical Release and Authorization

As Parent and/or Guardian of the named child, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named child. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to Rising Hill Learning and its affiliates to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered season.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Thank you for your interest. Shortly we will email you confirmation of your enrollment and request payment at that time. Thank you!