The participant has permission to engage in all Learning Ladder activities. The parent/guardian will be financially responsible for any medical attention needed during sessions or resulting from any injury received. The parent/guardian shall provide the sole insurance coverage for any medical treatment.
The parent/guardian agrees to release any records necessary for insurance purposes, with the understanding that every attempt will be made to contact the parent/guardian, or the emergency contact(s), before taking this action. The parent/guardian gives permission to Learning Ladder to arrange necessary related emergency transportation for the participant.
I HEREBY WAIVE AND RELEASE Learning Ladder, ITS OWNERS, AGENTS, PARTNERS, FACILITY PROVIDERS, AND EMPLOYEES FROM LIABILITY FOR ANY INJURY OR ILLNESS INCURRED WHILE AT A Learning Ladder CENTER, WORKSHOP, CAMP, OR EVENT, RESULTING FROM ORDINARY NEGLIGENCE. I UNDERSTAND THAT THERE IS RISK OF INJURY TO THE PARTICIPANT AS A RESULT OF Learning Ladder ACTIVITIES, AND KNOWINGLY AND VOLUNTARILY ASSUME ALL RISK OF SUCH INJURY. HOWEVER, I UNDERSTAND THAT I AM NOT RELEASING Learning Ladder, ITS OWNERS, AGENTS, PARTNERS, FACILITY PROVIDERS, AND EMPLOYEES FROM GROSS NEGLIGENCE, RECKLESS CONDUCT OR INTENTIONALLY TORTIOUS CONDUCT. TO THE EXTENT THIS RELEASE CONFLICTS WITH STATE/PROVINCIAL LAW GOVERNING RELEASES, THIS RELEASE IS TO BE GIVEN THE FULLEST FORCE AND EFFECT PERMITTED UNDER STATE OR PROVINCIAL LAW. IF THIS RELEASE IS DETERMINED TO BE INVALID UNDER THE LAWS OF THE GOVERNING STATE OR PROVINCE, THEN THIS RELEASE SHALL BE STRICKEN FROM THIS CONTRACT, BUT ALL OTHER TERMS AND CONDITIONS OF THIS AGREEMENT SHALL REMAIN IN FULL FORCE AND EFFECT.
STATEMENT OF CONSENT / ARBITRATION CLAUSE
By authorizing the participant to attend Learning Ladder programs, the parent/guardian must agree to the statement of consent and the participant code of conduct. The information we collect is CONFIDENTIAL and is used to aid our staff, the administrators and instructors in assessing crucial information regarding the participant.
Upon registration, you will need to submit information to Learning Ladder about the participant including allergies, illnesses, medications, dietary restrictions, immunizations, emergency contact information, gender and date of birth. We ask for a Primary Contact Person in case of emergency (in addition to a Secondary Contact Person) and information concerning these parties—such as name of contacts, phone numbers, email, and address. This information is to be filled out by the Parent/Guardian. If you have any questions, please contact us at 818-790-4357 or firstname.lastname@example.org.
If your participant should need to be restricted from any activity, you will need to inform us with the specifics. You further certify that he/she is in good health and able to participate in the program activities. You authorize the staff to attend to health problems or injuries your son/daughter/ward may incur while attending Learning Ladder. You acknowledge that you are responsible for medical expenses due to your son/daughter/ward’s illness or injury.
You will also be asked to identify any medical condition or history that would require special attention. You will need to certify that the named participant is physically able to participate in all activities, including games, computer instruction, and that you know of no restrictions, physical impairments, or any other factors, which in any manner may limit his/her participation in such a program.
ALLERGIES/DRUG REACTIONS AND MANAGEMENT OF REACTIONS INCLUDING NUTS
You will be asked to chronicle any known allergies. You will be asked if the participant is bringing an EPIPEN to Learning Ladder. If so, you will be asked to verify the prescription and bring 2 (two) EPIPENS to Learning Ladder; one for staff and one for your participant to carry on their person. We cannot admit your participant without 2 (two) EPIPENS; this is for your child’s safety. You may be asked for immunization information. You will need to verify that the health history you are providing is correct and complete, and that the participant has permission to engage in all activities except as noted. Participants will need to self-administer injections under observation of our staff.
You will be asked to enter all known illnesses or conditions which the participant has or has had including illness, allergies, and drug reactions. You will be asked to fill out a list of prescribed medications your son/daughter/ward MUST take while attending Learning Ladder. You acknowledge that the medicine and/or vitamins are to be in the possession of the administrator, delivered to the administrator in original containers that identify, in English, the prescribing physician (if a prescription drug), the name of the medication, the dosage, any side effect, and the frequency of administration, and will be dispensed as instructed by you. Exception: INHALERS AND DIABETIC TESTING KITS. All medication brought MUST match what is listed in the participant’s online account. Our staff needs your full cooperation. Thank you for understanding. You also understand that no one at Learning Ladder is authorized to give any participant over-the-counter medication without written permission. In most cases, our personnel are not professional nurses or doctors, and have not been trained in medicine. Our personnel have, however, been trained in our medication administration procedures.
You understand that if your participant is taking medication, all medications must be brought to Learning Ladder in the original container. The original container must identify (in English) the prescribing physician (if a prescription drug), the name of the medication, the dosage, any side effect, and the frequency of administration. Participants needing injections (insulin, hormones, etc.) will need to self administer the medication under observation of our staff. Learning Ladder staff is not trained in this area. Upon arrival at camp, all medication must be placed in the care of our Campus Director. Medication brought to Learning Ladder MUST match what is listed in the participant’s online account. Our staff will only administer the dosage as listed on the container. Please provide a physician’s note if your participant’s dosage differs from what is listed. You understand that any discrepancies may result in long delays at check-in and may require the cancellation of the session, without a refund. Please refrain from bringing nonessential vitamins and/or supplements to camp. Our camp staff kindly appreciates your full cooperation. You understand that it is the responsibility of all parents/guardians to retrieve their participant’s medication from the camp staff at the end of the session
If medication is not picked up within seven days, all medication(s) that are still left behind after that grace period will be disposed of at the end of each session. Should Learning Ladder dispose of any medication pursuant to this policy, Learning Ladder shall not be responsible for any damages or liabilities related in any way to such medication, including, but not limited to, replacement cost of the medication and any damages resulting from participant’s failure to administer such medication. Learning Ladder, by law, is not allowed to mail medication, so please be sure to retrieve all medication before you leave Learning Ladder.
If a participant requires an aide at school then he/she will need to be accompanied by an aide at Learning Ladder, and that aide will need to be present for the duration of the session.
You acknowledge that upon observation of your participant at the Learning Ladder program, if it is determined by the administrator that the program is not a suitable and/or productive environment for your participant, Learning Ladder may dismiss the participant and no refund will be issued. Learning Ladder will exhaust every opportunity for an excellent relationship with each and every participant, but in some rare cases Learning Ladder may not be a compatible environment for every participant.
Lost, Stolen or Damaged Property
You will be responsible for personal or property damage incurred by your son/daughter/ward while at Learning Ladder. Learning Ladder is not responsible for personal belongings lost or damaged by casualty, theft, laundry, etc. You agree to accept full responsibility, financial or otherwise, for the conduct of your participant—including damage to equipment or facilities. Learning Ladder does not owe a duty to protect its participants from theft or damage to property. You will not hold Learning Ladder responsible for any lost, stolen, or damaged personal items brought to Learning Ladder. If any theft of or damage to your son/daughter/ward’s property should occur, or in association with the program, you understand that Learning Ladder will not be held responsible.
Physical and Recreational Activities such as sports, outdoor, and other activities contain inherent risks You are aware that your son/daughter/ward may be participating in activities such as sports, hiking, swimming or other recreational activities, and that such activities contain inherent risks of injuries. You assume all risks and understand that Learning Ladder, its owners, agents, partners, facility providers, and employees will not be held liable for damages or injuries associated with recreational activities, including any and all claims based on negligence. You understand that you must report any and all injuries immediately to the program administrator.
You understand that all images, testimonials, photos, video and audio taken at or in connection with Learning Ladder are the sole and exclusive property of Learning Ladder As a condition of enrollment, you must understand and authorize that photos may be taken of your student. You also understand and agree that said content may be used by Learning Ladder in promotional materials, marketing collateral, and online media. You understand that Learning Ladder, its owners, agents, partners, facility providers, and employees will not be held liable for damages and injuries associated with said publishing, including any and all claims based on negligence. We may not have the opportunity to contact all families for permission before the press arrives, so we have created a blanket policy. We thank you for understanding. You understand that all projects and work created while at Learning Ladder may be used by Learning Ladder in promotional materials and other print and online media.
You understand that movies played at any of the programs run by Learning Ladder are rated PG and PG-13 and selected at the sole discretion of Learning Ladder You understand that video and computer games used at any of the programs run by Learning Ladder are selected at the sole discretion of Learning Ladder staff.
Due to the nature of the Internet you understand that Learning Ladder cannot guarantee that participants at Learning Ladder will avoid complete contact with age appropriate internet content. Learning Ladder will make a concerted effort to minimize exposure to any content not appropriate for these age groups.
ARBITRATION IN LIEU OF LITIGATION:
You agree that any dispute arising out of or relating to this Agreement, your participant’s participation at Learning Ladder, or otherwise arising between the parties, including, without limitation, any participants statutorily created or protected rights, as permitted by applicable state/provincial or federal laws, shall be settled by arbitration in the state/province and county in which the service is held, in accordance with the Commercial Rules of the American Arbitration Association, and judgment upon the award rendered by the arbitrator(s) may be entered in any court of competent jurisdiction. The prevailing party in the arbitration shall be entitled to recover expenses including costs and reasonable attorney’s fees associated therewith. Should any part of this contract be found invalid or not enforceable by a court of law, then the remaining portion shall continue to be valid and in force. You hereby acknowledge that you understand the terms of the ARBITRATION AGREEMENT, that you understand it, and agree to comply with all of its terms and provisions.