Parent's Information

Parent/Guardian's First name

Parent/Guardian's Last name

Phone Number

Email

Address

Emergency Contacts & Authorized Pickups

Emergency Contacts (Full name, phone number, and relationship)

Please list all emergency contacts

Emergency contacts are also authorized for pickup

Release form (Full name, phone number, and relationship)

Please list all other contacts who may pickup your children

Permission and Consent

These permissions apply to all children listed below unless otherwise specified.

I give permission for my children to participate in outdoor activities, including, but not limited to hiking, shelter building, and supervised tool use

In the event of an emergency, I authorize TideView staff to perform appropriate medical help or seek medical attention for my children.

I agree to send my children with weather-appropriate clothing, lunch, snacks, and water each day. I understand that if my child is not adequately prepared, I may be asked to pick them up early.

I give permission for my children to appear in photos/videos used for TideView Nature School promotional purposes (website, social media, marketing materials)

Yes

No

Liability Waiver and Agreement

I have read and agree to the waiver and release of liability.

I am the parent or legal guardian of the participating child(ren) and understand that outdoor programs involve inherent risks such as weather, terrain, and wildlife.

I give permission for my child(ren) to participate in all activities at TideView Nature School and release the staff and affiliates from any liability for injury, loss, or damages. I confirm my child is fit to participate and authorize emergency medical treatment if needed

Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

Date Signed

Year

Month

Day

Child 1's Information

Child 1's First Name

Child 1's Last Name

Child 1's Date of Birth

Year

Month

Day

Medical conditions or allergies (if any)

Does your child require medication during program hours? If yes, please describe dosage and timing.

Any accessibility, behavioural, or sensory needs we should be aware of?

Do you have another child to add?

Yes

No

I confirm all information provided is accurate and up to date

Family information

Parent's Information

Emergency Contacts & Authorized Pickups

Permission and Consent

Liability Waiver and Agreement

Child 1's Information

Contact Us for information on our programs

We would love to hear from you (please check your spam folder if you have not received a reply within 48 hours)

Contact Options

PRINCIPAL MANAGEMENT

tideviewnatureschool@gmail.com

Contact Us

© 2023 by Tideview Nature School. Powered and secured by Wix