Please check all that apply to describe the physical condition of the child *
Emergency Contact Name and Relationship with the Child *
Your answer
Emergency Contact Phone *
Your answer
What do you hope for your child to learn from this class?
Your answer
Introduced by / Relationship
Your answer
Please be mindful of, and adhere to, the following guidelines. This is to provide a safe and secure environment for everyone to enjoy the class and promote an ideal environment to practice. By checking boxes below, you are agreeing to follow these guidelines.
*
Yes, I agree to follow.
To provide and ensure a safe environment for all participants, parents/guardians are requested to keep child(ren) at home when they have fever, nausea, or other contagious diseases. If a child becomes ill while in class, parents/guardians will be requested to pick up their child (ren).
If there are any health conditions (such as illnesses and allergies) of which we should be aware, it is the legal obligation of the parent/guardian to disclose such information to us.
In the case of illness, accidents and injuries, which may result from the participant's voluntary participation in the classes, Buddha Jewel Monastery and its volunteers and staff are not responsible for any and all liability or damages. It is the duty of the parent/guardian to provide primary accident and medical insurance for the child.
Yes, I agree to follow.
To provide and ensure a safe environment for all participants, parents/guardians are requested to keep child(ren) at home when they have fever, nausea, or other contagious diseases. If a child becomes ill while in class, parents/guardians will be requested to pick up their child (ren).
If there are any health conditions (such as illnesses and allergies) of which we should be aware, it is the legal obligation of the parent/guardian to disclose such information to us.
In the case of illness, accidents and injuries, which may result from the participant's voluntary participation in the classes, Buddha Jewel Monastery and its volunteers and staff are not responsible for any and all liability or damages. It is the duty of the parent/guardian to provide primary accident and medical insurance for the child.