VI. Parental Agreement

The Children’s Nook is authorized to obtain emergency medical treatment for my child, ______________________________, should the need for such treatment arise. I agree to assume all financial responsibility, which may arise from any such treatment.

My child, ______________________________, has permission to accompany an authorized staff person off the Children’s Nook premises for field trips whether they be walking or require transportation. I understand notification and a permission form will be provided in advance.

My child, ______________________________, has permission to be included in photographs, slides and/or videos that may be taken at Children’s Nook.

I have read the information regarding fees and agree to make required payments in full and on time.

I understand Children’s Nook and/or any employee thereof is not responsible for any consequences which may result from information withheld or false or incorrect information given at the time of registration or anytime thereafter.

I have read and agree to abide by the operational policies as described in the Children’s Nook handbook.

Signature_____________________________________________ Date____________________

(Mother or Legal Guardian)

Signature_____________________________________________ Date____________________

(Father or Legal Guardian)