Your Name *

Adult caregiver 1

First Name

Last Name

Your Partner's Name

Adult caregiver 2. Single-caregiver households leave this section blank.

First Name

Last Name

Your child's name

If your child is signed up for on-site childcare, include their information below. If you did not sign up for on-site childcare you may leave this section blank.

First Name

Last Name

Your child's birth date

Please be sure to submit your child's birthdate and not your own

MM

DD

YYYY

Acknowledgement of Risk *

I acknowledge that there are risks inherent in any youth activity, including – but not limited to – injury arising from participation in outdoor physical activity. I acknowledge that all risks cannot be prevented, and assume those beyond the reasonable control of the teachers and staff. In consideration of being permitted to participate in classes at Wonderforest Preschool, on behalf of myself, my family, my heirs, and my assigns, I hereby release and hold harmless Wonderforest Preschool, its teachers and its staff from any liability for injury, loss, or death to the Child. In order to minimize risks to my Child and others, I will take responsibility to make sure that my Child is prepared for all activities, dressed appropriately for the weather, and is in good health for each class. I am also aware that Prospect Park, Pacific Park, St. Marks Community Garden, Dean Street Field are public parks with rough terrain and wild animals, and open to the general public for various activities. I appreciate and accept that risk and waive any right to pursue legal remedies associated with inherent risks of the parks and other outdoor locales.

I have read, understand, and agree to the terms of the 'Acknowledgement of Risk' above.

Not applicable: I am NOT participating in on-site childcare for today's event

Consent to Photograph *

If you do not want photographs and video clips with your image to be used on the Educator's websites* and promotional materials please choose "do not consent" and we will be sure to blur your image on any photos or videos recorded. *Educators websites include: Brooklyn Nature Days, Wonderforest, BKNatur(ed)

Consent to Photograph: I do hereby consent and agree that BKNatur(Ed) has the right to take photographs and video clips that include my image and to use these on the Educator's websites* and promotional materials without compensation. I understand my name and identity will not be revealed.

Do not consent.

Signature *

By signing this form electronically, I attest I am the parent/guardian of the above child and I am the person whose name appears in the box below. I have reviewed this document, and have elected to have my child participate in our on-site childcare on Saturday May 10th, 2025

First Name

Last Name

Today's date *

MM

DD

YYYY