Emergency Medical Authorization
In an event where my child may suffer an injury or illness while in the care of Generation Infocus and the facility is unable to contact me (us) immediately, GI shall be authorized to secure such medical attention and care for the child as may be necessary. I (We) shall assume responsibility for payment for services. Generation Infocus is not responsible for payment of services under any circumstances.
For consideration which I acknowledge, I irrevocably grant to Generation InFocus and their publishers and partners, the right to use my/my child’s image, name, and/or statement for incorporation into a Generation InFocus product in all forms of media including advertising and related promotion. I grant the right to use my/my child’s image, name, and/or statement in connection with all uses of Generation InFocus or product and waive the right to inspect or approve use of my/my child’s image, name, and/or statement as incorporated in the product. I release Generation InFocus and their publishers and partners from all liabilities related to any claims of copyright infringement or other compensation. I acknowledge that I have no ownership rights in the Generation InFocus product. I have read and understood this agreement.
I hereby assume all risk of accident, harm or injury to the child which may arise from participation in Generation Infocus after school programs and electives and therefore indemnify, defend, release and hold harmless forever and discharge Generation Infocus owners, managers, teachers and other personnel from liability, claims, demands, costs and actions that may result from participation in the program.
By signing below I agree to abide by the terms listed above as well as future modifications set forth by Generation Infocus.
Drop-In (cannot exceed 2 days per week)$25
After School$320.00 (monthly)$160.00 (bi-weekly)
One Time Non-refundable Registration Fee$40 for After School