URBAN ADVENTURE SQUAD
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2018-19 School-Year
Registration Form
REQUIRED FOR ALL NEW AND RETURNING STUDENTS

To register for Urban Adventure Squad's 2018-19 School-year Programs, please complete this form and choose your programs. This form is required for all new and returning families (one per child); we cannot register students without it. 

CANCELLATION POLICY
Please choose your programs carefully; UAS cannot offer refunds within two weeks of the program day. Our programs require a high degree of research, planning, logistics, and care. We use registration numbers and fees to hire/confirm staff, and to develop and research program curricula. For the same reason, we cannot accommodate last-minute or walk-in registrations unless a child has been accepted from a waitlist.

If UAS must cancel a program due to circumstances beyond our control, such as inclement weather or a program location that is forced to close for the day, we will offer credit for future program days.

A minimum of 10 confirmed registrations at least one to two weeks ahead of a program is required in order to run it. If UAS is forced to cancel a program due to under-enrollment, we will offer refunds or credit days. 
    HOME AND SCHOOL INFORMATION (* indicates required field)
    [object Object]
    example: 01-01-2001

    ALLERGY INFORMATION


    CURRENT MEDICATIONS (if none, leave blank)

    WAIVER OF LIABILITY AND AUTHORIZATION FOR MEDICAL TREATMENT

    I realize that no environment is risk-free despite a high degree of supervision, and I undertake to discuss with my child the importance of abiding by all Urban Learning and Teaching Center/Urban Adventure Squad (henceforth known as "ULTC/UAS") rules on conduct and safety. I understand that there are certain unavoidable risks associated with participating in ULTC/UAS programs. I acknowledge these risks and agree to let my child participate in all ULTC/UAS activities for the dates my child is registered. 

    Because ULTC/UAS programs are based on adventures, including outdoors (e.g., city streets, hiking trails, along bodies of water) and on buses/trains, I understand that if my child behaves in a way that risks my child's safety or the safety of any other children or adults affiliated with the ULTC/UAS program, I may be contacted by ULTC/UAS to pick up my child, and that my child may be barred from participating in future ULTC/UAS activities.

    By typing my name below and clicking the "Submit" button, I hereby release Urban Learning and Teaching Center/Urban Adventure Squad and its trustees, officers, directors, and agents from all liability or claims, of whatever nature, arising from my child’s participation in ULTC/UAS programs. I further agree to indemnify and hold harmless Urban Learning and Teaching Center/Urban Adventure Squad and its officers, directors, and agents from any damage, including attorney’s fees, that may result from participation in ULTC/UAS programs. 

    If my child becomes seriously ill or injured while participating in a ULTC/UAS program, I authorize ULTC/UAS staff to call emergency medical services (911) as needed and/or take my child to a hospital, urgent care center, or physician for treatment. I accept responsibility for any expenses incurred in the medical treatment of my child, including any expenses that are not covered by my health insurance policy, or in the event that my child is not covered by a health insurance policy. 

    example: 01-01-2001

    OPTIONAL PHOTO RELEASE

    EMERGENCY CONTACT INFORMATION 
    Please provide the best contact information for who we should contact
    in case of an emergency. At least one contact below should be a parent or legal guardian who will be reachable during the program.

    Do UAS programs allow you to put in work hours?

    PROGRAM REGISTRATION: CHOOSE YOUR PROGRAMS
    Please choose carefully; UAS cannot offer refunds within two weeks of a program day.
Submit
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  • Home
  • Outdoor Programs
    • SY2020-21 Registration
    • Summer 2021 Update and Memberships >
      • Omni Shoreham Hotel
    • COVID-19 Safety Protocol
  • DONATIONS AND GIFT CERTIFICATES
    • Donate
    • Gift Certificates
  • Resources
    • Resources during the COVID-19 pandemic
    • Geocaching D.C.'s Waterways >
      • Activities for the Classroom or Home
      • Go PLAY! (Find Our Geocaches)
    • D.C.'s Hidden Waterways >
      • Squad Waterway Cleanup
      • In-classroom activities
      • Field trips
      • Resources to learn more >
        • Hands-on Activities
  • About
    • Who we are >
      • UAS BOARD
      • UAS STAFF
      • UAS documents >
        • UAS Annual Report 2020
        • UAS Annual Report 2019
        • UAS Annual Report 2018
        • UAS Annual Report 2017 >
          • UAS Financial Report 2017
        • UAS Annual Report 2016
        • ULTC governance docs
    • School Partnerships
    • The Squad in the News
    • Middle School Leadership Program
    • Frequently Asked Questions (FAQs)
    • Contact Us >
      • Join our email list
    • Job opportunity