Consent(Required) ACKNOWLEDGMENT AND ASSUMPTION OF RISKS AGREEMENT I have carefully read, understand, agree to, and voluntarily sign the WPELC Acknowledgment and Assumption of Risks Agreement. I understand this document contains an acknowledgement and assumption of risks, a release and indemnity agreement, and other important provisions. Further, I acknowledge and agree that it shall be effective and legally binding upon me, my spouse or partner, Child's other parent/guardian, Child and other children, and my/Child's other family members, heirs, executors, representatives, subrogees, assigns, and estates. PARENT HANDBOOK ACKNOWLEDGMENT I hereby certify that I have read the WPELC Parent Handbook, understand the expectations of our family, and agree to abide by the expectations and requirements in the Handbook. WITHDRAWAL POLICY If a student must withdraw from WPELC before the school year ends, the parent/guardian must notify the Director and Administrative Assistant in writing four weeks in advance. Following the four-week notice period, the current month’s tuition will be prorated, if applicable, and a refund, less any amount owed for mandatory fundraising to-date, will be made, if applicable. The May tuition serves as a retainer fee, is non-refundable, and cannot be applied to a family’s last month of school if they withdraw during the school year. MEDICAL EMERGENCY CONSENT I/We, the parent(s)/guardian(s) of the above mentioned Child, give consent for emergency medical, surgical and/or dental treatment in a licensed medical facility by a licensed physician/dentist should Child’s condition require it in my absence. I/We understand that in such a case, reasonable attempts would first be made to contact us with time and conditions permitting. As long as the medical and/or surgical treatment considered necessary in the situation is in accordance with generally accepted standards of medical practice for the particular type of injury or illness involved, I/we impose no specific prohibitions regarding treatment. LEGALLY AUTHORIZED PARENT/GUARDIAN I certify and represent that I am my Child's legally authorized parent/guardian, and that I have the legal authority to permit my Child to enroll in and attend WPELC, and to execute the WPELC Acknowledgement and Assumption of Risks Agreement, WPELC Parent Handbook, and all other required documents for myself and for and on behalf of my Child. To the extent necessary, I agree that I have obtained any and all other pertinent consents or authorities (including any required by a court decree or order; for example, a divorce decree, custody order, or joint parenting plan). I've read the above and agree.(Required)Student First Name(Required) Student Last Name(Required) Date(Required) MM slash DD slash YYYY Signature(Required)The consent given by this form is valid for the period of August 15, 2023 to August 14, 2024.
