NEW SQUAD MEMBER REGISTRATION FORM

All Squad members--new and returning--need a new form for the 2016-17 school year.
For future programs, you'll use the (much shorter) returning Squad member form. Thank you!


    EMERGENCY CONTACT INFORMATION 
    Please provide the best contact information for three different people (including Squad member's parents)     who we can call in case of an emergency.  As necessary, please repeat parent or legal guardian information from above.

    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 the Urban Adventure Squad’s programs. I acknowledge these risks and agree to let my child participate in all UAS activities for the dates my child is registered. 

    By typing my name below and clicking the "Submit" button, I hereby release the Urban Adventure Squad, LLC (henceforth known as “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/we 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.
Proudly powered by Weebly