Parent/Guardian Name *

Name of parent or guardian completing this form

First Name

Last Name

Medical Consent

in the event of a Medical Emergency (as defined below), the undersigned, being the lawful parent and/or guardian of the above named child(ren), hereby authorizes the Country Learning Center and any of its staff or employees to provide for, approve, and authorize any health care at any hospital, emergency room, doctor's office, or other institution; employ any physicians, dentists, nurses, or other person whose services may be needed for such health or dental care to the child. "Medical Emergency" shall mean an injury, disease, or any other medical condition affecting the child that may require immediate treatment or for which CLC has unsuccessfully attempted, after reasonable efforts, to contact the parent and/or guardian on record before administering or authorizing any treatment.

I consent to the medical policy

First Aid Consent *

The parent or guardian consents to first aid treatment by CLC staff in the event of a minor injury.

I consent to the first aid policy

Class Trip Consent *

The parent or guardian consents to the participation by the child in class trips and walks approved by CLC and to the participation of the child in all events relating to such activity.

I consent to the class trip policy

Photo Use Consent *

The parent or guardian consents to the use of photographs of the child by CLC for educational, informational, and promotional purposes, including, but not limited to, the posting of photographs on the CLC website, CLC social media site(s), brochures, and in-house materials.

I consent to the photo use policy

Parent Handbook Acknowledgement *

The parent or guardian understands and agrees that it is their responsibility to read and familiarize themselves with policies and procedures outlined in the Parent Handbook, and agrees to abide by them. Information contained in the Parent Handbook may be subject to change.

I acknowledge that I have been provided a copy of the Trinity Preschool Parent Handbook and agree to abide by the policies and procedures outlined in the Handbook.

Distance Learning Center *

The parent or guardian consents to the participation by the child for the purpose of distance learning in the case of an extended school closure.

I consent to the distance learning policy.

Limitation of Liability *

By submitting this electronic form, the parent or guardian assumes all risks associated with the consents granted in this agreement and agrees to hold harmless, release, and indemnify Trinity Preschool from all liability, claims, demands, damages, costs, expenses, actions, and causes of action arising or to arise by reason of the consents granted in this agreement. Submission of this form serves as the electronic signature of the parent or guardian named on this form.

I consent to the limitation of liability policy