Parent / Guardian Permission
I hereby give consent for my child to participate in the Learnika iCode after-school program at Laurel Elementary for the Spring 2017 trimester. For the protection of your child, Learnika iCode has a sign in/sign-out policy for all classes. Please note that your child must be picked up by an adult after class, or the teacher must be notified in writing or by email authorizing the child to sign him/herself out of class and leave unsupervised. In consideration of participation in this program, I hereby indemnify and hold harmless and release Learnika, the Menlo Park School District, PTA, City of Menlo Park, its agents, and its employees and volunteers from any and all liability for injury suffered by myself or my child arising from or connected with this program. I assume all risk for any injuries. Learnika reserves the right to dismiss students without refund if either the student or parents interfere with the smooth operation of the program. I hereby grant Learnika full rights to copyright, exhibit, and publish in any medium including, but not limited to, editorial illustration, promotion, advertising, Internet, or trade all photographs taken by Learnika and its staff of my child during Learnika class sessions. By submitting this form, I am agreeing to the terms stated.