Parent/Guardian Permission Form
Program: I give permission for my child to participate in all program activities I understand that deCordova reserves the right to change program activities or instructors and cancel programs, should deCordova decide in its sole judgment that it is necessary and appropriate to do so.
Expectations/Dismissal: I have informed the deCordova staff of any limitations to my child’s participation and agree to abide by deCordova’s sole judgment as to whether my child can be accommodated in the program. I understand that failing to disclose any physical, emotional, or behavioral needs or conditions may result in the child’s dismissal from the program. I understand that my child must follow the stated behavior expectations and safety rules and that deCordova reserves the right in its sole judgment to dismiss without refund any child whose behavior interferes with the rights and safety of others or consistently disrupts group dynamics or activities.
Behavior Expecations: At deCordova we strive to create a safe community where individual differences are valued, where students and staff can accept new challenges, and where everyone can have fun. DeCordova reserves the right to dismiss a student for problematic behavior that results in the disruption of group or offense to others.
Insects: I understand that deCordova is located on a 30-acre natural site and that outdoor exploration is an integral part of deCordova programs and therefore my child will be exposed to risks including but not limited to sun, ticks, and insects. I understand that it is my responsibility to apply insect repellant to my child before bringing him/her to the program each week. I understand that some ticks may transmit disease after being attached for over 24 hours, and it is my responsibility to check my child’s body thoroughly every day and to remove any ticks that may become attached.
Medical Care Waiver: I understand that by signing below I have waived, released, and discharged any and all rights and claims against deCordova, and its officers, employees, and agents, from all liability for personal injury or property damage sustained by my child while on the premises of deCordova. I give permission to deCordova staff to call emergency responders for onsite medical or hospital care in the event of an emergency. It is understood that best efforts will be made to locate me in the event of an emergency.
Payment, Cancellation, and Refund: Full payment is due at time of registration. A $30 non-refundable registration fee is included in the registration. We do not issue refunds to workshops missed by the student (including sick days). DeCordova reserves the right to cancel or change programs due to low enrollment. If the program is cancelled, a full refund will be issued.treatment expenses will be paid by me.
I have read and agree to abide by the terms and policies listed above.
I, the parent/legal guardian of the named student, have read, understood and agreed to Terms as described in the sections above.
