RELEASE FORM FOR OUR SAVIOR'S PRESCHOOL 2022-2023
The following must be signed and returned to the preschool to be placed in our child's file.  This is required by the State of Colorado for all young children attending any early childhood center.
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Email *
Parent Name: *
Student Name: *
Teacher's Name: *
Today's Date *
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Statement of Authorization *
I agree
I do not agree
I give my permission to Our Savior's Preschool and Our Savior's Lutheran Church to call a doctor for medical care for my child should an emergency arise. It is understood that the school will call 911 and would make a reasonable effort to locate me. I have listed three(3) emergency references, our physician and our dentist in my child's file. I will accept any expenses regarding my child's medical emergency and care.
Field Trip Authorization *
I agree
I do not agree
I give my permission and consent for my child to take part in field trips or excursions away from the preschool premises weather on foot or by vehicle. I understand that my child will be under the supervision of the preschool staff and other adults that are assisting. I also understand that the preschool will notify me of any planned excursions or field trips. It is my responsibility to read the newsletters/remind notifications regarding this, and contact the school if I do not wish for my child to participate.
Special Activities Authorization *
I agree
I do not agree
give consent for my child to view a video under staff supervision. I will contact my child's teacher if I do not wish for my child to participate.
Release *
I agree
I do not agree
I, as a parent or legal guardian of the child listed above, in consideration for the use of preschool facilities and playground or Our Savior's Preschool and Our Savior's Church, do hereby release and forever discharge Our Savior's preschool and Our Savior's Lutheran Church from any and all matters of action, causes of actions, suits, proceedings, damages, claims and demands whatsoever in law and equity, which I had, now have, or may have in the future as a result of the use of the facilities and grounds. This release is binding on the heirs, executors, administrators, personal representatives, and assigns of the parties hereto.
Signature: *
Please type your full legal name as signature on this document
A copy of your responses will be emailed to the address you provided.
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