Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by the Montessori Academy of North Hoffman during the selected camp(s). In exchange for the acceptance of said child’s participation by Montessori Academy of North Hoffman, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Montessori Academy of North Hoffman and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

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.

I understand that every attempt will be made by the Montessori Academy of North Hoffman and 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 the  Montessori Academy of North Hoffman and its affiliates including directors, teachers, assistants, and activity leaders 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 checking the box below, I acknowledge that I have read, understood, and agree to the terms outlined in this form. I confirm my consent to participate in MANH Summer Camps and understand that this digital confirmation serves as my legally binding consent.