Nature Explorers Registration

Nature Explorers

Registration
Contact Tiffany @ 727-687-6451

Parents are Required to stay during class and support their child through the stations.

Please include your child(ren) name and age
Names and Ages
Example: Mary 7, Evan 1
Parent/Guardian Information
Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Background Checks

Please use the name and email address above that can be used for the background check. (Cost is included with the family membership.) If more than one parent is going to be attending class, please include their information below:
Name

First NameLast Name
Email
example@example.com
Volunteer Preference

Please mark 1-6 where you would like to serve in order of top preference to least.

This is for supervision of the overall area to be giving attention to specifically during class, so we have all areas with a watchful eye to keep students safe.

Rotations will be made when parents are absent. More directions will be given during class as needed.
Baby/toddler Playmat
Activity Group Helper (assist during lessons)
Playground / Social Time Supervision
Floating Helper (assist wherever needed)
Set up class materials
Tear down class materials
Emergency Information

This is not a drop-off program, but we are required to have a second contact.
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
Does your child have any allergies, chronic illness, or medical conditions? If yes, please describe- only put information we need to know pertaining to what they might need for class.
Student Media Release for Minors under 18 years of age Consent I hereby give permission for my child(ren)’s photograph, video, and/or likeness to be used by Nature Explorers Homeschool Collective for promotional and educational purposes. This may include, but is not limited to, use on social media, websites, printed materials, and newsletters. I understand that my child’s full name will not be used without additional consent and that these materials will be used in a respectful and appropriate manner to showcase student activities and program highlights.
I give permission or I do not give permission.
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by {Tender Heart Ministries} during the selected Nature Explorers and Nature's Nest class. In exchange for the acceptance of said child’s candidacy by {Tender Heart Ministries}, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless {Tender Heart Ministries} . and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of participating in selected Nature Explorers and Nature's Nest class.

In case of injury to said child, I hereby waive all claims against {Tender Heart Ministries} . including all teachers, coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all activities, including all ball games and abt field trips to the park or nature areas. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
Medical Release and Authorization

As Parent and/or Guardian of the named athlete, 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 for the student . 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 the {Organization} . and its affiliates including Directors, educators, assistants or Parents 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.
This is my electronic signature for the children listed above. I Full name hereby give permission and adhere to the consent and medical release stated above. Today’s Date
Nature Explorers fees
prevnext( X )
Family Membership
One time payment for the year. Covers administrative costs and background checks.

$50.00



Student (age 4+)Semester Fee
Each student semester fee includes material costs for Nature Explorers preK-8th grade. Acceptions for PreK students upon request.

Sibling discount ($5 off) are applied to second child enrolled. (We have to subtract it off manually)

$50.00 Quantity



Toddler (age: 1-3yrs)
Ages 1-3yrs old: Covers cost of supplies for activities.

Sibling discount ($5 off) are applied to second child enrolled. (We have to subtract it off manually)

$25.00 Quantity



Subtotal

$0.00

Tax

$0.00

Total

$0.00
Payment type- All payments will be collected no later than the second class meeting.
Card payment will be processed through Venmo or Stripe and an invoice/ receipt will be sent to your email. There is an additional processing fee included.
I Agree to pay the above selected fees to attend Nature Explorers Program. Class fees need to be paid by the first week of class.
I Agree to the required parent background check and understand an email will be sent to complete the process.
I Agree I have read the class handbook and understand the safety protocols.
Please Join the Band App

Class details will be posted in the app, it is free to join. You want notifications turned on. We post everything in the calendar a week before, however, there can be last minute changes due to weather. Link to join: Accept the invite and join the group! https://band.us/n/a4a9b3H2z4R7x
Should be Empty:

Nature Explorers

Background Checks

Nature Explorers fees

Please Join the Band App