Riversong Forest School Registration Form

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Fall 2023

Email *

Which group do you wish to register for? *

Mondays 10-11:15 St-Leonard (Sep 18 – Dec 18; no class Oct 9)

Tuesdays 10-11:15 West Island (Sep 19 – Dec 19)

What is the child's full name? *

What is the child's date of birth? *

Full name of parent/guardian *

Phone number of parent/guardian *

Does the child have any medical conditions that could impact their participation in forest school? Are there any accommodations we could implement to facilitate participation?

Does the child have any other medical conditions you would like us to be aware of, including food allergies? *

Media consent options *

I give my consent for pictures/video to be taken of the child, for use on the Riversong website / facebook page / Instagram account

I give my consent for pictures/video to be taken of the child only if they do not show the child’s face, for use on the Riversong website / facebook page / Instagram account

I do not consent for any pictures/videos to be taken of the child

Please check the box below to confirm *

I understand that other parents/adults may have differing views on photographing their children and will ensure that any photos or videos I take of the child in my care do not include another child without the express permission of the other child’s parent/guardian.

Required

Assumption of risk / Indemnity agreement / Responsibility waiver

I have read and understood the above information regarding safety and risk. I agree to assume any risk that is associated with my child’s participation in forest school activities, and agree to hold Riversong Forest School harmless against all claims of damage and loss.

Required

Weather and cancellation/rescheduling of sessions *

I understand

Required

Fees and payment *

I understand

Required

Will there be an 'observer sibling' (child too young to participate, who will remain in stroller/carrier/arms of adult)? There is no cost for observer siblings.

Yes

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Send me a copy of my responses.

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