URBAN ADVENTURE SQUAD
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UAS requires a liability waiver for participants in our special programs, including birthday adventures, school programs, and family reunions. Complete the form and click submit. If you have questions, please
email us.
*
Indicates required field
Date of special program
*
format: 01-01-2001
Date of birth
*
format: 01-01-2001
Child's Name
*
First
Last
Parent or Legal Guardian Name
*
First
Last
Parent or Legal Guardian Email
*
Review this email address to sure it matches the email address above.
Current Medications (we need this information in case of an emergency):
*
Known allergies
*
EMERGENCY CONTACT INFORMATION
Please provide a telephone number where we can reach you during the special program, in case of an emergency.
1. Name/relationship to child
*
Phone Number
*
Alternate phone number
*
WAIVER OF LIABILITY AND AUTHORIZATION FOR MEDICAL TREATMENT
I realize that no environment is risk-free despite a high degree of supervision, and I have discussed with my child the importance of abiding by all UAS rules on conduct and safety. I understand that there are certain unavoidable risks associated with participating in programs run by Urban Adventure Squad, LLC (henceforth known as "UAS"). I acknowledge these risks and agree to let my child participate in all UAS activities.
By typing my name below and clicking the "Submit" button, I hereby release UAS, its trustees, officers, directors, and agents, from all liability or claims, of whatever nature, arising from my child’s participation in UAS programs. I further agree to indemnify and hold harmless UAS, its officers, directors, and agents, from any damage, including attorney’s fees, that may result from participation in Urban Adventure Squad programs.
If my child becomes seriously ill or injured while participating in an Urban Adventure Squad program, I authorize 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 necessary expenses incurred in the medical treatment of my child, including any expenses that are not covered by my health insurance policy.
Name of Parent or Legal Guardian:
*
Date:
*
Submit
Home
DONATIONS
Donate
Outdoor Programs
Full Day Programs
Summer Programs
>
Summer 2023 logistics/what to bring
Kenilworth Aquatic Gardens
School Partnerships
>
Breakthrough Montessori
COVID-19 Safety Protocol
Tick Protocol
Resources
Ten Things to Do Outdoors in DC!
Guide to Outdoor Learning
Black History in D.C.
Land Acknowledgement
Outdoor Learning Ideas
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
Environmental Justice with Middle Schoolers
>
Activities for the Classroom or Home
About
Who we are
>
UAS BOARD
UAS STAFF
UAS documents
>
UAS Annual Report 2021
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
The Squad in the News
Frequently Asked Questions (FAQs)
Contact Us
>
Join our email list
Job opportunity