Membership Agreement/Contract: In consideration of my child’s participation in Bayou Academy’s COLTS Program, I hereby agree to be bound to each of the following: • In the event I can’t be reached, and my child needs immediate medical attention, I hereby authorize Bayou Academy and/or staff to obtain medical treatment for my child at a local area clinic or hospital. I am personally responsible for the medical expenses. • I understand that Bayou Academy and staff shall have the right to display, use, post on social media and/or advertise any photographs, film and/or video taken of my child in connection with these classes and subsequent programs. • I understand for misconduct my child will result in dismissal from COLTS for the day without refund. • I understand parents aren’t permitted to stay in therapy/ learning sessions. • I understand I am signing my child up for the Center Of Learning & Therapy Services, a contract from August 2023 - May 2024. I will NOT receive reimbursement of any sort due to absentees, dropping out, other commitments or activities that arise and conflict with therapy/ learning sessions. *COLTS strives not only to provide students with academic application strategies, but most importantly self-confidence! Please type your name and date (this serves as an electronic signature).