Neighborhood Exploration ReleaseChild's Full Name* First Middle Last Child's Class*Select Your Child's ClassParent-Tot – WednesdayParent-Tot – ThursdayEarly Learner – TThEarly Learner – MWFPreschool – TThPreschool – MWFDo you have other children enrolled at WPELC for the upcoming school year?* Yes No You only need to complete this form once per family if all children have the same preferences. 2nd Child's Full Name* First Middle Last 2nd Child's Class*Select Your Child's ClassParent-Tot – WednesdayParent-Tot – ThursdayEarly Learner – TThEarly Learner – MWFPreschool – TThPreschool – MWF3rd Child's Full Name First Middle Last 3rd Child's ClassSelect Your Child's ClassParent-Tot – WednesdayParent-Tot – ThursdayEarly Learner – TThEarly Learner – MWFPreschool – TThPreschool – MWF4th Child's Full Name First Middle Last 4th Child's ClassSelect Your Child's ClassParent-Tot – WednesdayParent-Tot – ThursdayEarly Learner – TThEarly Learner – MWFPreschool – TThPreschool – MWFParent / GuardianName* First Last Email* Does this child have a second parent/guardian?* Yes No Name* First Last Email* Neighborhood Exploration InformationOur students may take Neighborhood Explorations as a class, off school grounds throughout the year. Examples include: walking around the block, heading over to Platt Park, observing construction in the neighborhood, working in the school garden, etc. Parents will be notified when these explorations occur. Teachers and staff will bring first aid kits, appropriate student medications, and family contact information whenever offsite. Please be sure your child is dressed appropriately for weather and walking. By signing this release, I allow my child(ren) to participate in WPELC Neighborhood Explorations. I hereby release and agree not to sue Washington Park Early Learning Center and any and all of its employees, agents and volunteers (collectively, the “Released Parties”) from any claims of, or resulting from the Released Parties’ negligence (but not any of their gross negligence or willful, wanton, or reckless misconduct) in connection to, as a result of or during these trips. I have read this release and understand all its terms and execute it voluntarily and with full knowledge of its significance. Policy and procedures concerning Neighborhood Explorations can be found in the WPELC Parent Handbook.Neighborhood Exploration Consent*My/our child(ren) may participate in WPELC Neighborhood Explorations. Yes No Emergency Medical Treatment*In the event of an emergency and we cannot be contacted, I hereby authorize that emergency treatment may be administered. Yes No SignatureParent/Guardian Signature*The consent given by this form is valid for the period of August 15, 2025 to August 14, 2026.Second Parent/Guardian Signature*The consent given by this form is valid for the period of August 15, 2025 to August 14, 2026.This field is hidden when viewing the formSignature Date MM slash DD slash YYYY
