Personal Information, General Liability

 & Medical Release Authorization

 

Required for all Weare Home Educator related activities during the 2017 –18 Academic Year

Parent's Name:

Home Phone:

Address:

Cell Phone:

 

Email:

 

General Liability Release

The undersigned hereby release, waive, discharge, and covenant not to sue Weare Home Educators (hereinafter "WHE"), Village Chapel Baptist Church or any of their directors, officers, employees, representatives, or volunteers, and owners of premises used to conduct the event from any and all potential actions, claims, demands, suits, judgments, liabilities, and proceedings both at law and in equity arising from and as more particularly related to any personal injury or damage to the property or person of the child(ren) named below, the undersigned parent(s), or legal guardian, resulting directly or indirectly from such child's or undersigned's participation in any WHE sponsored classes or activities.

The undersigned parent/guardian has the right to inspect the facilities and equipment to be used, and if the parent/guardian believes anything is unsafe, he or she should immediately advise teacher or directors of such condition(s) and refuse to participate.

Further, the undersigned acknowledge and fully understand that each participant will be engaging in activities that may involve risks that are not known or reasonably forseeable at this time. The undersigned assume all the foregoing risks and accept personal responsibility for any damages, including personal injury.

The undersigned parent, or legal guardian, is fully responsible for any damage to the Village Chapel Baptist Church property, its contents, or another person on the property caused by any child named below.

Please Note: If you have any questions regarding the legal implications in signing this form, please be certain to consult with an attorney prior to signing.

 

 

________________________________________________ ___________________
Signature Date

 

 Co-op Payment/Refund Policy

  •  Payment to secure enrollment in the WHE 2017-2018 Coop Classes is due June 30th.

  • Payments may be mailed to: Weare Home Educators, P.O. Box 160, Weare, NH 03281

  • If you want to cancel enrollment:

    • Full refunds will be given up to June 30th.

    • A refund of half the payment will be given up to July 31st.

    • No other refunds will be given beyond July 31st.

 

I have read and understand the Co-op Payment/Refund Policy (initial here)_______

I have read, understand and will adhere to the WHE Policies 2017-18 Manual (initial here)_______