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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, stamina, are able to participate in these conditions?
Yes
No
This program has classes during a variety of weather, and all seasons. Weather appropriate clothing is imperative to the safety, health, comfort, enjoyment of your child/children to participate. Do you agree and send kids in appropriate clothing. Agreed?
Yes
No
Are there any health, emotional regulation, physical concerns, cognitive or developmental and or need individual care? If so please please discuss.
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? Please include here, AND directly on email before class begins.
Yes
No
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