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Waiver Form

I understand this is a farm & there are risks. I will discuss safety and rule following to my child/chilren
Yes
No
This program runs year round including cold, snow & wind, rain & heat. Do you feel your child/children's health and stamina are able to participate in these conditions?
Yes
No
Are there any health, emotional or physical that can put your child or another child at risk, including excessive care?
Yes (please discuss with director)
No
Is your child currently able to stay with the class, and follow safety rules and instructions to keep him/her safe and without excessive attention on him/her to do so. This can put others or themselves at risk, detracts from others in the class
Yes
No (please discuss with director or teacher)
Does your child have any allergies?
Yes
No
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