NATURE EXPLORERS HOMESCHOOL ON THE GREENWAY
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- Martin Kelley
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1 ON THE GREENWAY Dear Homeschool Parent(s): We would like to welcome you and your child to our Nature Explorers Homeschool on the Greenway program. Thank you for choosing the Greenway for your child s nature experience through our classes. The following information will serve as a guideline regarding program operation, rules and regulations. All sessions will begin promptly at 12:15pm for age group and 12:30pm for age group 6-9. Students may be dropped off no earlier than 15 minutes before class. Classes end promptly at 2:15pm for age group and 2:30pm for ages 6-9. Students must be picked up no later than 15 minutes after class. Locations will move between various Anne Springs Close Greenway entrances. AGE AGE 6-9 Class Begins 12:15pm 12:30pm Class Ends 2:15pm 2:30pm Each student is required to bring a water-bottle to every session. Please note that this is an outdoor program and your student may get dirty and/or wet during every class. Be sure they are dressed appropriately to be outdoors based on the weather. Students must wear close-toed shoes unless otherwise stated by the instructor. Objectives of the Homeschool on the Greenway Program This interactive outdoor program is geared towards children with a keen interest in nature. Held on the 2100 acre Anne Springs Close Greenway, children will learn about animals and their ecosystems through observation and hands-on learning in our region s largest outdoor classroom. Children will learn and explore through fun activities that only the Greenway can provide. With this homeschool program we are looking to broaden the way your child thinks about the environment. Our goal is to expand their current knowledge while giving them the tools to interpret nature and make connections to the physical world around them. Please carefully read the information outlined below and fill out the required information, as applicable. Upon completion, all information can either be ed to BenSaettel@ascgreenway.org for ages 6-9, AmandaHelseth@ascgreenway.org for ages 10-14, or handed in at Member Services at the Recreation Complex. We are looking forward to exciting sessions filled with activities and unique explorations with each student participating. Please do not hesitate to contact us at BenSaettel@ascgreenway.org, AmandaHelseth@ascgreenway.org or if you have any questions. Sincerely, Ben Saettel and Amanda Helseth Environmental Educators
2 ON THE GREENWAY Student Contact Information Form Student s Name: Student s Age: Birth date: Parent/Guardian: Address: City: State: Zip Code: Primary Phone: Home or Work: Parent/Guardian address: Emergency Contact: Phone: We strive to provide the best educational experience possible for the students which includes ensuring their safety throughout the various sessions. Each day students will be signed in and out by a parent/guardian or approved adult so that we know which students are present at all times. This will require you to come into the facility. To ensure the safety of our students, any adult signing your student out must be listed on this authorized pick up form and present a photo ID. If you plan to carpool with another family or series of families be sure to list every adult who may be picking up your student. If an adult comes to pick up your student and their name is NOT listed on this form, we will not be able to release your student into that adult s care and alternate pick up arrangements will have to be made. The following adults have permission to pick up the student listed above: Please list names and contact phone numbers. 1) 2) 3) 4)
3 ON THE GREENWAY MEDICAL INFORMATION Health & Medical Information List Any Health, Medical or Behavioral Concerns List Current Medications and Side Effects Physician s Name Physician s Phone Number List any additional information that staff need to be aware of for the well-being of your child. I verify that my child is of good mental and physical health, and may participate in the Anne Springs Close Greenway Nature Explorers Homeschool. I also verify that my child s immunization shots are up to date. I understand that the Nature Explorers Homeschool staff will not administer medication, prescribed or other, to my child. I give permission to authorize emergency care to my child in the event that neither I nor the physician can be contacted. I prefer my child be transported to Hospital, in the case of an emergency. Signature of Parent/Guardian Date
4 PROGRAM SPRING 2018 ENROLLMENT AGREEMENT CHILDS NAME: UNDERSTANDING I understand that I am enrolling my child in the Anne Springs Close Greenway Nature Explorers Homeschool. I understand that my child s records (contacts, phone numbers, s, and authorized pick-ups) are my responsibility to keep current and accurate. I will update my child s records by filling out an updated form and submitting it to Ben Saettel (ages 6-9), Amanda Helseth (ages 10-14), or Member Services Desk at the Complex whenever there is a change. REGISTRATION AND FEES I understand that there are multiple Nature Explorers Homeschool sessions and each require a unique payment and sign up. I understand that this registration packet needs to be submitted only one time, before my child s first session. Homeschool fees: $20 a session I understand that if I choose to cancel my child s enrollment in the Nature Explorers Homeschool Program that there will be no refunds if a student cancels a session within two weeks of the start date. However, students can transfer to other sessions but a transfer fee may be assessed. Each class will have a maximum capacity and a waitlist will be started for any classes that have full enrollment. Each class will also have a minimum participant requirement and could be canceled if that requirement is not met one week prior to that class. Staff reserve the right to adjust the program as they see fit due to inclement weather conditions or other safety concerns. DISCLOSURE OF ACCOUNT INFORMATION I understand and agree that the Nature Explorers Homeschool Program may disclose account information regarding fees including the payment therefore and any delinquency to any guardian or person authorized to pick up my child as set forth in the application.
5 AUTHORIZED PICK UP I understand that my child will be released to any authorized person listed on the application. Each authorized person must show a form of identification and sign my child out daily. My child may be released at any time to any person listed as a guardian or person authorized to pick up as set forth in the application or other written authorization from listed guardian. PERMISSION The Nature Explorers Homeschool program provides as many fun and enriching activities as possible. This will include activities that involve live animals and being out in the woods. Please initial each item I hereby give my child permission to participate in all activities of the program including creek exploring, archery, hiking, fire building, low ropes challenge course, and kayaking. This permission also includes other activities that will be listed in individual class session descriptions. I give my child permission to walk to points of interest in close proximity to the program site under Nature Explorers Homeschool supervision. I give permission to have my child appear in any Greenway media coverage or brochures. MEDICAL CERTIFICATION AND AUTHORIZATION I certify that my child is of good mental and physical health and I am not aware of any health or physical limitations that would interfere with participation in the Nature Explorers Homeschool Program. I have disclosed all my child s severe allergies to food, plants or insects. I give permission to authorize emergency care to my child in the event that neither I nor the physician can be contacted and accept financial responsibility for such services. I understand that no motorized vehicles will transport children during the program. If an emergency occurs, the instructor will utilize local emergency transportation. STAFFING I understand that Nature Explorers Homeschool is not staffed to serve children who need one on one direct care. Members of the Greenway Education staff will be conducting all Homeschool classes and supervising your child at all times. All children who attend Nature Explorers Homeschool must be able to use the toilet without assistance.
6 BEHAVIOR POLICY I understand that my child will have to abide by the Nature Explorers Homeschool policies and procedures to ensure that each participant remains safe and can have a positive experience. My child will be taken away from activities when he/she cannot behave in a safe, expected and kind manner. I will be informed of unacceptable behavior and asked to sign a discipline form. I understand that fighting of any kind will not be tolerated and will result in an automatic suspension. If behavior continues to be a problem, the education staff will have the discretion to suspend my child from the program. If behavior does not improve, as a last resort, my child will be removed from the program. Nature Explorers Homeschool staff do not use corporal punishment. PERSONAL PROPERTY POLICY I understand that all electronic devices, including MP3 players and gaming electronics, should be left at home. Anything brought to class will be the responsibility of the student. No weapons, including pocket knives, are allowed to be carried by any student on Anne Springs Close Greenway property. WAIVER AND RELEASE The Nature Explorers Homeschool Program is well child-proofed and the children are consistently well supervised. However, accidents do happen. The undersigned(s) personally and on behalf of the child assume(s) all risk of injury or harm to the child associated with participation in the Nature Explorers Homeschool Program and agree(s) to release, indemnify, defend and forever discharge the Nature Explorers Homeschool Program, Anne Springs Close Greenway and Leroy Springs & Company, Inc. and it's staff, employees, volunteers and agents of and from all liability, claims, demands, damages, costs, expenses, actions and causes of action in respect of death, injury, loss or damage to the child, or by the child, howsoever caused, arising or to arise by reason of or during the child's participation in the Nature Explorers Homeschool Program, unless primarily caused by the negligence of the Nature Explorers Homeschool Program. INSURANCE I, the undersigned, Parent or Legal Guardian of the registered participant, certify that the named participant is covered by an insurance program with Company, which will compensate for injuries incurred while participating in Nature Explorers Homeschool Program activities. I am a lawful parent and/or guardian of the child set forth herein and consent to the child s participation in the Nature Explorers Homeschool Program. By signing this agreement, I understand and agree to the terms and conditions set forth upon this agreement. Parent/Guardian Signature & Date revised 01/29/2018 BS
7 PHOTO/IMAGE/SOUND RELEASE CHILD S NAME I hereby grant permission, without reservation, to Anne Springs Close Greenway the unqualified right and permission to take and to use photographs and/or sound image/recordings of me or that of a child of whom I am the legal guardian, and to describe, same for the promotion of announcing, advertising and marketing the activities of Anne Springs Close Greenway and/or the Nature Explorers Homeschool program. I fully understand that no monetary payment will be made to me for such uses as described above. I release Anne Springs Close Greenway, its officers, directors, agents, employees, volunteers, licensees, assignees, successors and those acting upon their authority, from all claims which I may have, or might have, for any cause of action arising out of the taking and/or use of the photographs and/or sound/image recordings. Parent/Guardian Name (print name) Parent/Guardian Signature Date address
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