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Forest Play Summer 2021

Participant Registration

Please select the # of participants

Parent #1 Information

*Required

*First Name- Parent #1

*Last Name- Parent #1

*Company

*Address - parent #1

*City

*Province/State

*Country

*Postal/Zip Code

*Phone Number- Parent #1

*Email

*Are you willing to participate in surveys for program evaluation?

Yes

cell phone number (if different from home phone)

Parent # 2 Information

First Name - Parent #2

Last Name - Parent #2

Phone Number -Parent #2

Email - parent #2 (enter only if different from first parent and if 2nd parent wishes to receive emails from Forest Play)

Emergency Contact

*Emergency Contact Person #1 Name

*Emergency Contact Person #1 Relationship

*Emergency Contact Person #1 Phone

*Emergency Contact Person #2 Name

*Emergency Contact Person #2 Relationship

*Emergency Contact Person #2 Phone

Parental Agreement, Release of Liability, Waiver of Claims and Assumption of Risks

Name of Program Participant(s)

Forest Play

Parental Agreement Form Release of Liability, Waiver of Claims and Assumption of Risks

Please read carefully. By signing this form you will waive certain legal rights. This form must be signed by the parent or legal guardian of the participant. If you have any questions or concerns regarding the statements below, please discuss them with staff before signing.

Definition – In this agreement, the terms “Forest Play” or “Program” refer to a wide range of outdoor activities that may include any combination of the following: active games, camp craft, day hiking in mountainous terrain in all seasons, group initiative activities,(e.g. cooking, carrying wood/water, wood carving), and other outdoor activities carried out in natural areas. I am aware that there are certain risks inherent in my child’s participation in these activities some of which include:

Weather.Extreme weather conditions (including storms and lightening) or sudden changes may be experienced
The possibility of becoming separated from staff and other participants
Steep, uneven, slippery or otherwise hazardous terrain.Slips and falls contribute to many outdoor accidents.
Dangerous animal encounters (including bears and cougars), insects and poisonous plants,
Water.Rivers and lakes have many hazards which can include rapid level changes, cold or fast moving water, man-made and natural objects in the water, rapids, high waves and thin ice.

Falling objects encountered while in mountainous and forested terrain, including tree fall & rock fall.
The conduct of other participants

I acknowledge that although the program may take precautions to reduce the risks and increase the safety of activities, all dangers and risks cannot be foreseen or managed. I understand and voluntarily accept without limitation, all risks, including the possibility of loss of property, unforeseen expenses, personal injury (including death) associated with my child’s participation in the program. I acknowledge that the value of the Forest Play program derives in part from activities carried out in natural areas and that the inherent risks of such activities contribute to their value.

I authorize program staff to obtain and provide such medical advice and services as they deem necessary for the health of my child. In respect to medical services which require the consent of a parent/guardian, I authorize program staff to provide such consent. I accept financial responsibility for all medical costs which exceed coverage provided by my health care plan.

I waive all and any claims that I may have, and release from all liability and agree not to sue Program employees, directors, independent or sub-contractors and volunteers (collectively the “Personnel”) for any loss, property damage, expense, personal injury (including death) that may result from my child’s participation in the Program.

As a parent, I believe that my child’s participation in the program and this parental agreement form are, on the whole, beneficial to my child. I agree to hold harmless and indemnify the Program and its Personnel for all and any loss, damage, expense or personal injury (including death) experienced by my child as a result of my decision to enroll my child in the program.

I have carefully read and understand this form and accept the waiver. If this box is unchecked, I decline the waiver. Checking this box is equivalent to writing my signature to accept the waiver.

Please enter name of parent signing this waiver

Payment Options

Summary

Subtotal:

GST 5%:

Total (CAD):

Deposit:

Credit Card MasterCard

You will be prompted to enter card details after submitting this registration.

Cheque or etransfer

We will email you an invoice with payment instructions.

Questions?
If you have any questions, please contact Dave Verhulst at 403-760-9288 or [email protected].

Cancellations and Refunds Policy

Parents may withdraw a child from the program at any time. If the program is cancelled by Forest Play for any reason, a full refund will be provided. If you cancel your registration 2 weeks ahead of time, a full refund will be provided minus a $30 administration fee. If you cancel within 2 weeks and we are able to fill that spot with another child, a full refund will be provided minus a $30 administration fee. If we are not able to fill that spot with another child, we will refund 50% of the program cost. In the event of a last minute emergency (illness, death in family) contact the office to discuss refund options.