I/We hereby apply for admission for my child to Bell Creek Nature School and authorize the school to request and receive confidential information regarding this applicant from current or previous schools.

Notice of Nondiscriminatory Policy as to Students: Bell Creek Nature School admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, sexual orientation, or national and ethnic origin.

Parent/Student Handbook Confirmation Slip

I have read the Parent/Student Handbook of Bell Creek Nature School LLC and I understand that Bell Creek Nature School LLC takes place entirely outdoors, and that there are risks which naturally occur whenever children are playing outside. I release Bell Creek Nature School LLC and staff from any liability for injuries that might occur as a result of participating in Bell Creek Nature School LLC Programs. My child is in good physical health and I will provide appropriate clothing for the weather.

Photo Release

I understand that photographs taken of my child by BCNS staff or representatives may be used on the school’s website or other programs or documents available to the general public. I hereby authorize the School and its agents, employees or representatives to copy, exhibit, publish or distribute any and all such photographs of my child, including composite or artistic representations, and to use the photographs in all forms and media for purposes of publicizing School programs or for any other lawful purposes. In addition, I waive any right to inspect or approve the finished product, including written copy, wherein my photograph appears. I also understand that BCNS will not place any photograph of my child on the internet if the photographs are accompanied by any identifying information. I hereby hold harmless and release and forever discharge Bell Creek Nature School and all of its representatives, employees, and their successors, from all claims, demands and causes of action which I, my heirs, or representatives have or may have by reason of this authorization.

Contact/Medical Information

Name and Mailing Address
Name and Mailing Address
PLEASE LIST AT LEAST TWO PEOPLE WHO CAN BE CONTACTED IN CASE OF AN EMERGENCY IF A PARENT/GUARDIAN CANNOT BE REACHED. A CONTACT PERSON SHOULD BE SOMEONE WHO IS READILY AVAILABLE.

MEDICAL EMERGENCY AUTHORIZATION

I/We may not be available to provide consent for medical treatment in the event that our child becomes sick or is injured during participation in a school authorized activity. If I/we are not available for such consent, it is my/our desire to have the best available medical treatment for my/our child. This form hereby authorizes Bell Creek Nature School LLC and its staff to act on our behalf with respect to any required medical treatment decisions and consents until such time as I/we are able to provide these items. In the event that I cannot be reached in an emergency, I hereby give my permission to call 911 and/or contact a medical facility or physician selected by the school staff to secure proper treatment for my child. Notice is hereby given to any qualified medical personnel that this authorization is currently in effect and such personnel are directed to act upon such authorization without delay. I/We agree to assume financial responsibility for all expenses and bill incurred in any emergency requiring medical attention.

LIABILITY WAIVER

I understand that Bell Creek Nature School takes place outdoors, and that there are risks which naturally occur whenever children are playing outside. I release Bell Creek Nature School, and Bell Creek Nature School staff from any liability for injuries that might occur as a result of participating in Bell Creek Nature School Programs. My child is in good physical health and I will provide appropriate clothing for the weather.

ENROLLMENT CONTRACT

Please read the following information carefully. This application is subject to the following conditions:

THE PERSON(S) FINANCIALLY RESPONSIBLE FOR PAYMENT OF THIS STUDENTS EXPENSES MUST SIGN THIS ENROLLMENT CONTRACT. ALL PERSONS SIGNING WILL BE JOINTLY AND SEVERALLY LIABLE FOR FULL TUITIONS AND OTHER FINANCIAL OBLIGATIONS HEREUNDER. I HAVE READ, UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS OF THIS CONTRACT.