PD Days and Camp Registration
Sign Up For PD Days and Camp Registration
Please fill out one form for each child.

This will be an initial intake form and when registering for future programs you will not need to fill out forms or sign again. This agreement is valid until a termination contract is signed.

All forms must be complete and handed in before your child can start a program.*Pay with cash or Interac E-Transfer to theowlsnestEDC@gmail.com *To make alternate arrangements contact by email.
Location at a Reroot Organic Farm
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Email *
Date
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Child's Name and Age *
Do you currently attend The Owl's Nest and have filled out this form for this child? *
 How did you hear about to us? (e.g. website, friend, facebook)
Health Card Number
Parents and Guardian Name(s)
Full Mailing Address
Phone Numbers for Parent(s) or Guardian(s)
Emergency Contacts: Names and phone numbers of two (2) different local people to whom your child may be released (other than parent/Guardian) in case of emergency when contact with parents cannot be made:
Parent/Guardian Agreement
I hereby submit this application for active participation in The Owl’s Nest Holistic Alternative School. I am submitting payment by Paypal or Interac E-Transfer to theowlsnestEDC@gmail.com.

If it becomes necessary to withdraw my child from the program, I understand that no refund will be provided.

I hereby authorize The Owl’s Nest School Educator to carry out regular health inspections of my child. If found ill, s/he will be separated from the other children, supervised, and I or the emergency contact will be called to take the child home.

I hereby authorize The Owl’s Nest School Educator or another responsible adult to obtain emergency medical treatment for my child by qualified personnel if I am unable to be reached.

I will not send my child to school if there is any question of illness. If my child contracts a communicable disease, I will notify The Owl’s Nest School Educator who will notify Public Health.

I will keep The Owl’s Nest School Educator informed of any event or change of routine at home, which might affect my child (behaviour, health, emotional, well-being).

If I have any questions about my child's progress in the program, I will direct them to The Owl’s Nest School Educator. I will direct questions or suggestions about administration of the school to The Owl’s Nest Holistic Alternative School Owner, Carly Ogryzlo.
In case of injury to my child while in the care, custody or control of the school, I hereby waive all claims against the school in excess of public liability insurance carried by the school.

I understand that, during the program, The Owl’s Nest School Educator has overall responsibility for program, teaching methods, discipline, and health and safety measures; if I am volunteering, I am there as an assistant.

Participant's Agreement
I hereby grant consent for my child to fully participate in the program of activities organized by The Owl’s Nest Holistic Alternative School.

I hereby declare that I will not hold The Owl’s Nest Holistic Alternative School and it's staff responsible in case of an accident or cases of COVID-19. I understand that precautions will be taken to reduce the spread of COVID-19. I understand masks will not be required by staff or students and socially distancing will not be enforced, only encouraged.

I hereby grant my consent for emergency medical treatment to be administered to my child, if necessary, for any injury or illness during The Owl’s Nest Holistic Alternative School Program.

I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release, indemnify, and hold harmless The Owl’s Nest Holistic Alternative School, its officers, agents and/or employees, other participants, sponsors, volunteers, and, if applicable, owners and lessors of premises used to conduct the event (Releasees), from any and all claims, demands, losses, and liability arising out of or related to injury, disability or death or loss or damage to person or property, whether arising from the negligence of the releasees or otherwise, to the fullest extent permitted by law.


Description of Risks
I knowingly and freely assume all such risks, both known and unknown, and assume full responsibility for my child’s participation in The Owl’s Nest Holistic Alternative School. I am aware that there are inherent risks involved with outdoor, nature-based activity and in my child’s participation in any outdoor activity in the outdoor program at The Owl’s Nest Holistic Alternative School, including my child’s use of any equipment or natural materials. The risks and hazards of outdoor activity include, but are not limited to:
Injuries from executing strenuous and demanding physical activities
Injuries from failing to properly use tools
Contracting poison ivy or stinging nettle
The presence of wild animals and possible ticks
Inclement weather
Furthermore, I am aware:
That injuries sustained in outdoor activity can be severe and even fatal;
That all explained rules are designed to enhance safety of my child and others and are to be followed at all times;

Health Statement
I will notify The Owl’s Nest Holistic Alternative School ownership or employees if my child suffers from any medical or health condition that may cause injury to themselves or others; or may require emergency care during my participation. I will fully disclose any illness in a declaration daily to help reduce the spread of COVID-19.
Photo Release
This release is for the use of all participants of The Owl’s Nest Holistic Alternative School. It will remain in effect from the time of signing until the participant reaches the age of majority - or for adult participants it will remain in effect indefinitely. In the course of activities, representatives of The Owl’s Nest Holistic Alternative School, Educators, participants and staff lovingly document the child(ren)'s learning through videos and photos and use them in communication with families or otherwise record events. These photographs and recordings are sometimes used to promote The Owl’s Nest Holistic Alternative School. Please advise us if you are willing to have your own image and voice and/or your child’s image and voice used for promotional purposes by The Owl’s Nest Holistic Alternative School, as indicated below:
I, on my own behalf and/or on behalf of my child, give permission to The Owl’s Nest Holistic Alternative School to photograph and record me and/or my child’s image and voice on still photographs, motion picture film, audio tape, video tape or digital media and to use this material, and/or similar material provided to The Owl’s Nest Holistic Alternative School by me or third parties involved in events, in whole or in part, now and in the future, through the media of television, film, internet, multi-media presentation, radio, audiotape, videotape, in printed form and display form for the promotion of The Owl’s Nest Holistic Alternative School, on my own behalf and/or on behalf of my child assign and transfer to The Owl’s Nest Holistic Alternative School any and all proprietary rights, including copyright, and waive all personality rights, which I may have or my child may have in this material.
The Owl’s Nest Holistic Alternative School is only responsible for official uses of photographs and recordings. Any personal uses by other participants and volunteers outside of the promotional uses outlined above are not monitored by or the responsibility of The Owl’s Nest Holistic Alternative School.

Photo Permission
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Acknowledgement
I acknowledge that I have read and fully understand this agreement, while accepting the risks involved with my child’s participation in these activities at The Owl’s Nest Holistic Alternative School.
I have read this release of liability and assumption of risk agreement, fully and understand its terms, and sign it freely and voluntarily without any inducement.

By Printing Your Name You are Signing That You Agree *
A copy of your responses will be emailed to the address you provided.
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