Accident Release, First Aid, and Financial Responsibility Wavier
Please read and sign below. Registration forms cannot be accepted without a signature.
By signing, I declare that I understand the inherent dangers involved with my child’s participation, including the risk of personal injury and/or damage to my child and/or my property while participating. I authorize and grant permission for a representative of Foundation Church to treat minor injuries including scrapes, small cuts, splinters, and insect bites. I authorize and grant permission for a representative of Foundation Church to obtain emergency medical care from any licensed physician or hospital and/or medical clinic should my child become ill or injured while participating in activities away from home or at other times when neither parent nor guardian is available to grant authorization for emergency treatment. I therefore freely and voluntarily execute this release with such knowledge, assume the risk of personal injury and/or property loss arising from or in any way connected with participation in this program offered by Foundation Church. I hereby release and discharge Foundation Church and any and all agents of Foundation Church from any liability, claim, cause of action, demand or damages from injury or damages of any kind to my child or my property as a result of participation in Parents' Night Out. I have read the Parents Night Out rules (listed below) and understand that my child and I must adhere to them. I understand that should my child become a disruptive force during Parents' Night Out that the instructor may choose to release him/her from the program with no refund. Aggression towards staff or other children will not be tolerated.
Parents Night Out Rules and Regulations
1. Everyone must follow the instructions of PNO staff.
2. All participants must take part in all scheduled activities.
3. No electronics are allowed. These items should be left at home.
4. No running or horseplay is allowed indoors.
5. Please leave valuables at home (rings, jewelry, etc.). Foundation Church will not be responsible for lost, damaged, or stolen items.
6. All participants are expected to treat others with kindness and respect.