• Monday/Wednesday Registration Form

  • Student Information

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  • Parent/Guardian Information

    Please list the adult who will serve as the primary contact as Parent/Guardian for our newsletter, emails, and any curriculum platform log-in credentials.
  • Emergency Contact

    Please list an emergency contact that we can contact in the event of an emergency if we are unable to reach Parent/Guardian. This emergency contact person will automatically be considered an authorized alternate pick-up person. Please be sure this person is aware that they are listed as your emergency contact, and that they are ready to assume the responsibility for this role.
  • Medical & Learning Information

  • Additional Information

  • Project LEARN – Enrolment Agreement Packet

    This agreement outlines the permissions, responsibilities, and terms required for participation in Project Learn programs.Please read each section carefully. A signature is required for each agreement to complete enrollment.
  • Medical Release Activities

  • BE IT KNOWN that I, {parentguardianName}, the undersigned parent or guardian of {studentName}, hereby give full consent and authorisation to any qualified medical doctor or hospital to render such aid, treatment, or emergency care to my child as may be required on an EMERGENCY BASIS, when such treatment is deemed necessary and when efforts to contact me have been unsuccessful.

    IT IS FURTHER UNDERSTOOD that any expense incurred for emergency transportation and/or medical treatment will be the sole responsibility of the parent or guardian. I acknowledge that payment of any such expenses is not the responsibility of Project Learn.

  • Parent/Guardian Name: {parentguardianName}

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  • Student Name: {studentName}

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  • Activities Waiver & Release of Liability

  • Parental Authorization Required for Participation

    I, {parentguardianName}, the parent or legal guardian of {studentName}, hereby grant permission for my child to participate in all activities organised by Project Learn, including but not limited to: on-site programs, electives, field trips, and park days.

    Acknowledgement of Readiness to Participate

    I certify that my child is physically, mentally, and emotionally capable of participating in the program. I understand participation is voluntary and that Project Learn staff will take reasonable safety precautions.

    Waiver and Release of Liability

    In consideration of my child being allowed to participate, I voluntarily and knowingly release Project Learn, including its officers, agents, employees, and affiliates, from any and all liability arising from my child’s participation, including but not limited to:

    • All claims (past, present, or future), whether known or unknown
    • Personal injury
    • Illness
    • Death
    • Property damage
    Assumption of Risk

    I understand that outdoor education, travel, and recreational or instructional activities involve inherent risks. I assume full responsibility for any injury, harm, or damage incurred by myself or my child as a result of these activities.

    Indemnification

    I agree to indemnify, defend, and hold harmless Project Learn, its employees, officers, instructors, and affiliates from all claims, liabilities, damages, or costs (including attorney’s fees) arising out of my child’s participation. This agreement is binding upon me, my spouse, heirs, representatives, assigns, and any guardian ad litem.

  • Parent/Guardian Name: {parentguardianName}

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  • Student Name: {studentName}

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  • Media & Publicity Authorization and Release

  • Parental Consent for Media Use

    I, {parentguardianName}, the parent or legal guardian of {studentName}, grant permission for my child to participate in all activities organised by Project Learn, and understand that as part of these activities, Project Learn may photograph, film, or record students for documentation, training, and promotional purposes.

    Authorised Media Use

    Media may be used for:

    • Instructor training and professional development
    • Programme promotion via:
      • Newsletters
      • Brochures and flyers
      • Websites
      • Social media platforms
      • Public or mass media outreach
    Online Safety and Privacy Commitment

    Project Learn is committed to protecting your child’s privacy. We pledge to:

    • Share only appropriate, respectful, and relevant media content
    • Avoid publishing location-identifying information in public materials
    • Ensure all shared content aligns with program values and community standards
    Note: As of Fall 2024, families may no longer opt out of media usage. Families with specific concerns may contact Project Learn directly to discuss accommodations.
  • Parent/Guardian Name: {parentguardianName}

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  • Student Name: {studentName}

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  • Parent/Guardian & Student Responsibilities

  • Acknowledgment Required for Enrolment

    I, {parentguardianName}, the parent or legal guardian of {studentName}, understand that both parent/guardian and student responsibilities must be upheld to ensure a safe, respectful, and enriching environment.

    Parent Responsibilities
    1. Communication
      I will stay informed through the bi-monthly newsletter and contact Project Learn staff with questions or concerns.
    2. Drop-Off and Pick-Up
      - Drop-off no earlier than 9:45 AM
      - Pick-up no later than 3:15 PM
    3. Food and Supplies
      I will send my child with lunch, snack, water bottle, and necessary supplies. I will communicate any relevant allergies or health concerns.
    4. Dress Code
      I will ensure my child follows the program’s dress code.
    5. Technology Usage
      I will support the program’s no personal device use policy.
    6. Cancellations and Holidays
      I understand that cancellations may occur due to weather, emergencies, or holidays, and make-up days may not be available.
    7. Tuition
      • Tuition is due by the 1st of each month
      • Tuition is non-refundable and not prorated
      • I am responsible if my charter school does not pay
    8. Curriculum
      I am responsible for ensuring my child completes the required core academic curriculum outside of Project Learn.
    9. Behaviour and Conduct
      I will support respectful behaviour. Repeated misconduct may result in dismissal.
    10. Withdrawal
      If withdrawing from the program, I will notify the Site Director promptly.

     

    Student Responsibilities
    1. Behaviour & Conduct
      Student attends prepared, with a respectful attitude, and follows staff instructions.
    2. Technology Usage
      No personal devices (including mobile phones) during program hours. Misused devices may be confiscated.
    3. Dress Code
      Student will wear attire suitable for learning and active outdoor participation.
  • Parent/Guardian Name: {parentguardianName}

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  • Student Name: {studentName}

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  • Financial Responsibility Agreement

    Please review the following information and sign below for acknowledgment and acceptance of the term of the Financial Responsibility Agreement.
  • Acknowledgment of Tuition Responsibility

    I, {parentguardianName}, the parent or legal guardian of {studentName}, accept full financial responsibility for all tuition and fees associated with participation in Project Learn.

    I understand and agree that:

    • Tuition is due on the 1st of each month, regardless of attendance
    • Tuition is non-refundable and not prorated for missed or unused days
    • If my charter school fails to pay, I am fully responsible for tuition
    • This agreement is effective for the full enrolment period
  • Parent/Guardian Name: {parentguardianName}

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  • Student Name: {studentName}

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  • Consent and Agreements

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