Day School Application

School Year: 2025-2026

Child's Information

Parent/Guardian Information

Emergency Contact Information

In the event we are unable to contact the parent/guardian listed above, please list additional adults we may contact should an emergency or other need arise.

We will attempt to contact the parent/guardian first.

Child's Medical Information

Program & Additional Information

Please list the individuals who have permission to pick up your child from school. (In addition to parents/guardians and emergency contacts already listed.)

Is there anything else you want us to know?

Waivers and Consent

Photo/Video Release

Additional Information:

• This permission is granted without any financial compensation.

• I understand that once/if my child's photograph is used, it may be publicly accessible and shared.

WAIVER AND RELEASE OF LIABILITY

This Waiver and Release of Liability (the "Waiver") is executed on the day of it's signing by the undersigned parent(s) or legal guardian(s) (the "Parent(s)"), of the child for which this form is completed, a child who is enrolled/enrolling in the Day School Program (the "Program"), provided by EDUCARE and Foundation Church (the "Provider").

In consideration of allowing my child to participate in the Program, I, the undersigned, hereby agree to the following:

1. Assumption of Risk

I acknowledge and understand that participation in the Program involves certain inherent risks, including but not limited to, physical injury, accidents, and illness. I further understand that the nature of the activities conducted in the Program may expose my child to these risks.

I voluntarily assume all risks associated with my child’s participation in the Program, including any risk of injury, illness, or accident, and accept full responsibility for my child's participation.

2. Release of Liability

To the fullest extent permitted by law, I hereby release, waive, and discharge EDUCARE and Foundation Church, its officers, directors, employees, volunteers, agents, and representatives from any and all claims, demands, actions, or causes of action that may arise from my child’s participation in the Program, including any claims for personal injury, property damage, or wrongful death.

3. Indemnification

I agree to indemnify and hold harmless EDUCARE and Foundation Church, its officers, directors, employees, volunteers, agents, and representatives from any and all liabilities, losses, damages, claims, or expenses, including attorneys' fees, arising out of or in connection with my child’s participation in the Program.

4. Medical Consent

In the event of a medical emergency, I give permission to the Provider to seek medical treatment for my child and authorize emergency medical personnel to treat my child as necessary. I further agree to be responsible for any costs associated with such medical care.

5. Acknowledgment of Understanding

I acknowledge that I have carefully read and fully understand the contents of this Waiver and Release of Liability. I am signing this document voluntarily and agree to the terms herein. I acknowledge that no oral representations, statements, or inducements have been made by the Provider to alter the terms of this Waiver.

6. Governing Law

This Waiver shall be governed by and construed in accordance with the laws of the state of [State], without regard to its conflict of law principles.

Parent/Guardian information completing this form and consenting to the above statements:

Child's Information:

By signing below, I confirm that I have read, understand, and voluntarily agree to the terms of this Waiver and Release of Liability.

Consent & Acknowledgement

I hereby consent to my child’s participation in the EDUCARE Day School program. I understand that the program will take reasonable steps to ensure the safety and well-being of my child, including the use of appropriate disciplinary measures, emergency medical treatment if necessary, and routine activities. I agree to notify the school of any changes to my child's health, contact information, or schedule.