Child's Legal Name *

Please write your child's name as it appears on legal documents

First Name

Last Name

Child's Date of Birth *

When was your child born?

MM

DD

YYYY

Parent/Guardian 1 *

First Name

Last Name

Parent/Guardian 1 Phone *

(###)

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Parent/Guardian 2

First Name

Last Name

Parent/Guardian 2 Phone

(###)

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Emergency Contact *

Please include an emergency contact other than parent/guardian.

First Name

Last Name

Emergency Contact Phone *

Must be different from parent/guardian phone numbers

(###)

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Name of Child's Physician *

First Name

Last Name

Phone Number for Child's Physician *

(###)

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Consent for Medical Treatment *

In the case of a medical emergency, I understand that every reasonable attempt will be made to contact the Parent(s)/Guardian(s) or another designated emergency contact. However, in the event that I cannot be reached, I give my permission to the Educators of Wonderforest Preschool, LLC to help my Child and secure emergency medical treatment. (Local hospital, where educators intend to go, as long as it is available, is New York Presbyterian Brooklyn Methodist, 506 6th Street, Brooklyn, 11215.) I agree to pay for any charges for emergency medical treatment that are not covered by my personal health insurance. This acknowledgement and consent applies for the duration in which my child attends class.

I have read, understand, agree to the terms of the 'Consent for Medical Treatment' above.

Acknowledgement of Risk *

I acknowledge that there are risks inherent in any youth activity, including – but not limited to – injury arising from participation in outdoor physical activity. I acknowledge that all risks cannot be prevented, and assume those beyond the reasonable control of the teachers and staff. In consideration of being permitted to participate in classes at Wonderforest Preschool, on behalf of myself, my family, my heirs, and my assigns, I hereby release and hold harmless Wonderforest Preschool, its teachers and its staff from any liability for injury, loss, or death to the Child. In order to minimize risks to my Child and others, I will take responsibility to make sure that my Child is prepared for all activities, dressed appropriately for the weather, and is in good health for each class. I am also aware that Prospect Park is a public park with rough terrain and wild animals, and open to the general public for various activities. I appreciate and accept that risk and waive any right to pursue legal remedies associated with inherent risks of the park.

I have read, understand, and agree to the terms of the 'Acknowledgement of Risk' above.

COVID-19 Acknowledgement of Risk *

Parents may have reservations about having their child participate in an in-person program due to the potential risks associated with the current COVID-19 pandemic. Although Wonderforest Preschool will comply with the guidance provided by the New York State Department of Health, Wonderforest Preschool cannot eliminate the risk of exposure or spread of COVID-19 during the in-person program. By allowing your child to participate in the in-person program operated by Wonderforest Preschool, you understand and accept these potential risks, and agree to abide by the New York Department of Health Guidelines.

I have read, understand, and agree to the terms of the 'COVID-19 Acknowledgement of Risk' above

Sunscreen & Bugspray Acknowledgement *

Application of sunscreen and bugspray is required during class. Wonderforest will provide these items for all children as needed, or if preferred, families may send in a specific kind for their child to use. Families should send additional sun protecting clothing to be worn as needed throughout the day. Families acknowledge that teachers will assist their children in applying sunscreen and bugspray as needed.

I have read, understand, and agree to the terms of the 'Sunscreen & Bugspray acknowledgement' above.

Indoor/outdoor toileting affirmation and release *

I acknowledge that agents of Wonderforest Preschool may need to assist my child by changing their diapers outdoors/indoor or helping them use a restroom outdoors/indoor. I expressly give permission to agents of Wonderforest Preschool to conduct these activities within the scope necessary to assist my child.

Media Release

If you do not want photographs and video clips of your child to be used on the Educator's websites and promotional materials please choose nothing in this section.

Consent to Photograph: I DO hereby consent and agree that Wonderforest Preschool has the right to take photographs and video clips of my child and to use these on the Educator's websites and promotional materials without compensation. I understand my child's name and identity will not be revealed.

Schedule, Tuition, and Payment *

Tuition is non refundable, non transferable and due in full prior to your child attending class. All payments are non-refundable, non-transferable, and must be submitted by date noted on your invoice to secure your child’s spot in our classes. By enrolling in our classes, families assume responsibility for the full balance due. Families are responsible for the full balance due, regardless of the days their child actually attends. No refunds or credits given for classes missed, including those due to travel, illness, covid related closures, or schedule conflicts.

I have read, understand and agree to the terms of 'Schedule, Tuition, and Payment' above.

Consent to be included in the Wonderforest family directory *

For the purpose of connecting with other families outside of our classes, Wonderforest shares a contact list with participating families. This directory is password protected and is only shared with other Wonderforest families.

YES! I consent to being included in the Wonderforest family contact.

NO, I do NOT want my contact information shared on the family directory.

Today's Date *

MM

DD

YYYY

Address *

Please provide your permanent mailing address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country